Healthcare Provider Details

I. General information

NPI: 1588330021
Provider Name (Legal Business Name): CENTER FOR VALUED LIVING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2021
Last Update Date: 08/26/2021
Certification Date: 08/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 S AIRPORT RD
LONGMONT CO
80503-6424
US

IV. Provider business mailing address

2620 S PARKER RD STE 185
AURORA CO
80014-1626
US

V. Phone/Fax

Practice location:
  • Phone: 720-347-8559
  • Fax:
Mailing address:
  • Phone: 720-347-8559
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ALYSSA GRIFFITHS
Title or Position: OFFICE MANAGER
Credential:
Phone: 720-347-8559