Healthcare Provider Details

I. General information

NPI: 1124908926
Provider Name (Legal Business Name): LIFEWISE HEALTH, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2025
Last Update Date: 09/03/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7143 S VERSAILLES WAY
AURORA CO
80016-2386
US

IV. Provider business mailing address

7143 S VERSAILLES WAY
AURORA CO
80016-2386
US

V. Phone/Fax

Practice location:
  • Phone: 714-878-4515
  • Fax:
Mailing address:
  • Phone: 714-878-4515
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: DR. ANGELIQUE ANTOINAE HILL
Title or Position: OCCUPATIONAL THERAPIST/OWNER
Credential: OTD, OTR/L
Phone: 714-878-4515