Healthcare Provider Details

I. General information

NPI: 1497665848
Provider Name (Legal Business Name): PATHWAYS OF LIFE RECOVERY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6100 SMITH RD
DENVER CO
80216-4631
US

IV. Provider business mailing address

6100 SMITH RD
DENVER CO
80216-4631
US

V. Phone/Fax

Practice location:
  • Phone: 303-953-3927
  • Fax:
Mailing address:
  • Phone: 303-953-3927
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KYLE PATRICK MCPHERSON
Title or Position: EXECUTIVE DIRECTOR
Credential: CAS
Phone: 970-449-3970