Healthcare Provider Details

I. General information

NPI: 1962037168
Provider Name (Legal Business Name): LIV'N WITH A PURPOSE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2020
Last Update Date: 02/10/2025
Certification Date: 02/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16423 E ADRIATIC PL
AURORA CO
80013-1105
US

IV. Provider business mailing address

16423 E ADRIATIC PL
AURORA CO
80013-1105
US

V. Phone/Fax

Practice location:
  • Phone: 720-504-5585
  • Fax: 720-513-0777
Mailing address:
  • Phone: 720-504-5585
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. JAMES ANTHONY RUCKER SR.
Title or Position: PARTNER
Credential: MA, LAC, LMFT
Phone: 720-504-5585