| Empowered Living Collective Llc | |
|
8354 E Northfield Blvd Ste 314 Denver CO 80238-3131 | |
| (720) 248-8633 | |
| Not Available |
| Full Name | Empowered Living Collective Llc |
|---|---|
| Speciality | Psychologist |
| Location | 8354 E Northfield Blvd Ste 314, Denver, Colorado |
| Authorized Official Name and Position | Anahita Lake-khosravi (CO-OWNER) |
| Authorized Official Contact | 7202488633 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowered Living Collective Llc 8354 Northfield Blvd Building G Suite 3700 Denver CO 80238-3131 Ph: (720) 248-8633 | Empowered Living Collective Llc 8354 E Northfield Blvd Ste 314 Denver CO 80238-3131 Ph: (720) 248-8633 |
| NPI Number | 1235849365 |
|---|---|
| Provider Enumeration Date | 11/30/2022 |
| Last Update Date | 01/09/2023 |
| Certification Date | 01/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235849365 | NPI | - | NPPES |
| 9000210453 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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