Healthcare Provider Details

I. General information

NPI: 1346173168
Provider Name (Legal Business Name): KIDS LIFE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5224 PERTH CT
DENVER CO
80249-8368
US

IV. Provider business mailing address

5224 PERTH CT
DENVER CO
80249-8368
US

V. Phone/Fax

Practice location:
  • Phone: 720-355-4151
  • Fax: 720-355-4151
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: LAKISHA PAYTON
Title or Position: OWNER
Credential:
Phone: 720-355-4151