MEDICARE: LIFE'S HOPE THERAPEUTIC SERVICES PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1003551292
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFE'S HOPE THERAPEUTIC SERVICES PLLC

Provider Business Mailing Address
First Line	:	9975 WADSWORTH PARKWAY UNIT
Second Line	:	K2 PMKB 427
City	:	BROOMFIELD
State	:	CO
Zip	:	80021
Country	:	US
Telephone Number	:	720-425-5510
Fax Number	:

Provider Business Practice Location Address
First Line	:	6075 S QUEBEC ST STE 203
Second Line	:
City	:	CENTENNIAL
State	:	CO
Zip	:	80111-4535
Country	:	US
Telephone Number	:	720-425-5510
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CLINICAL DIRECTOR
Name	:	CHRISTINA L MURPHY
Credential	:
Telephone Number	:	720-425-5510

Provider Enumeration Date	:	05/02/2022
Last Update Date	:	05/02/2022

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