Healthcare Provider Details

I. General information

NPI: 1376234450
Provider Name (Legal Business Name): LIFEPATHS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2023
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18483 E COLGATE CIR
AURORA CO
80013-6668
US

IV. Provider business mailing address

18483 E COLGATE CIR
AURORA CO
80013-6668
US

V. Phone/Fax

Practice location:
  • Phone: 303-801-7878
  • Fax:
Mailing address:
  • Phone: 303-801-7878
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: CATHERINE T WILSON
Title or Position: DIRECTOR
Credential: LPC
Phone: 303-801-7878