Healthcare Provider Details

I. General information

NPI: 1952925075
Provider Name (Legal Business Name): INNER PEACE WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2020
Last Update Date: 10/07/2022
Certification Date: 10/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8191 SOUTHPARK LN UNIT 209
LITTLETON CO
80120-4641
US

IV. Provider business mailing address

7950 S LINCOLN ST STE 108
LITTLETON CO
80122-2713
US

V. Phone/Fax

Practice location:
  • Phone: 303-963-5900
  • Fax:
Mailing address:
  • Phone: 303-963-5900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081N0008X
TaxonomyNeuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225XM0800X
TaxonomyMental Health Occupational Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State

VIII. Authorized Official

Name: ERIN WOELFEL
Title or Position: PRESIDENT/OWNER
Credential:
Phone: 303-905-6081