| Life Expansion Llc | |
|
9950 Hidden Ranch Ct Peyton CO 80831-6530 | |
| (719) 232-4854 | |
| Not Available |
| Full Name | Life Expansion Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 9950 Hidden Ranch Ct, Peyton, Colorado |
| Authorized Official Name and Position | Catrina Chatfield (OWNER) |
| Authorized Official Contact | 7192324854 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Expansion Llc 9950 Hidden Ranch Ct Peyton CO 80831-6530 Ph: (719) 232-4854 | Life Expansion Llc 9950 Hidden Ranch Ct Peyton CO 80831-6530 Ph: (719) 232-4854 |
| NPI Number | 1972322907 |
|---|---|
| Provider Enumeration Date | 10/07/2024 |
| Last Update Date | 10/07/2024 |
| Certification Date | 10/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972322907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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