| A Life Empowered, Llc | |
|
612 Powderhorn Dr Fort Collins CO 80526-2607 | |
| (970) 214-8965 | |
| Not Available |
| Full Name | A Life Empowered, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 612 Powderhorn Dr, Fort Collins, Colorado |
| Authorized Official Name and Position | Ashley L Hood (OWNER) |
| Authorized Official Contact | 9702148965 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A Life Empowered, Llc 612 Powderhorn Dr Fort Collins CO 80526-2607 Ph: (970) 214-8965 | A Life Empowered, Llc 612 Powderhorn Dr Fort Collins CO 80526-2607 Ph: (970) 214-8965 |
| NPI Number | 1013475748 |
|---|---|
| Provider Enumeration Date | 03/12/2019 |
| Last Update Date | 03/12/2019 |
| Medicare PECOS PAC ID | 9739421280 |
|---|---|
| Medicare Enrollment ID | O20190502000329 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013475748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Ashley L Hood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700344421 PECOS PAC ID: 0648512194 Enrollment ID: I20190502000382 |
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