| Lifelong, Inc. | |
|
7175 W Jefferson Ave Ste 4000 Lakewood CO 80235-2336 | |
| (303) 573-0839 | |
| Not Available |
| Full Name | Lifelong, Inc. |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 7175 W Jefferson Ave Ste 4000, Lakewood, Colorado |
| Authorized Official Name and Position | Lindsey Spraker (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7205823086 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifelong, Inc. 7175 W Jefferson Ave Ste 4000 Lakewood CO 80235-2336 Ph: (303) 573-0839 | Lifelong, Inc. 7175 W Jefferson Ave Ste 4000 Lakewood CO 80235-2336 Ph: (303) 573-0839 |
| NPI Number | 1689273435 |
|---|---|
| Provider Enumeration Date | 10/22/2020 |
| Last Update Date | 10/22/2020 |
| Certification Date | 10/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689273435 | NPI | - | NPPES |
| 9000160356 | Medicaid | CO | |
| 76983048 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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