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NPI Code Detail

MEDICARE: EMBER WELLNESS SERVICES LTD.

MEDICARE: EMBER WELLNESS SERVICES LTD.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1437742046
Entity Type Code : Organization
Provider Name (Legal Business Name) : EMBER WELLNESS SERVICES LTD.
Provider Business Mailing Address
First Line : 8588 W TOLLER AVE
Second Line :
City : LITTLETON
State : CO
Zip : 80128-6262
Country : US
Telephone Number : 307-333-3598
Fax Number :
Provider Business Practice Location Address
First Line : 4891 INDEPENDENCE ST STE 200
Second Line :
City : WHEAT RIDGE
State : CO
Zip : 80033-6714
Country : US
Telephone Number : 307-333-3598
Fax Number :
Authorized Official
Title or Position : PARTNER/THERAPIST
Name : PHOENIX BROWN
Credential : LPC
Telephone Number : 307-333-3598
Provider Enumeration Date : 02/15/2021
Last Update Date : 03/21/2022

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Directions to “EMBER WELLNESS SERVICES LTD. ” Practice Location

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