| Center For Life Change, Inc | |
|
950 Wadsworth Blvd Suite 201 Lakewood CO 80214-4591 | |
| (720) 748-8113 | |
| (303) 954-0083 |
| Full Name | Center For Life Change, Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 950 Wadsworth Blvd, Lakewood, Colorado |
| Authorized Official Name and Position | Jane Ellen Plattner (OWNER) |
| Authorized Official Contact | 7207488113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Life Change, Inc 950 Wadsworth Blvd Suite 201 Lakewood CO 80214-4591 Ph: (720) 748-8113 | Center For Life Change, Inc 950 Wadsworth Blvd Suite 201 Lakewood CO 80214-4591 Ph: (720) 748-8113 |
| NPI Number | 1386060515 |
|---|---|
| Provider Enumeration Date | 03/12/2014 |
| Last Update Date | 10/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386060515 | NPI | - | NPPES |
| CSW00991807 | Other | CO | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW9918097 (Colorado) | Primary |
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