| The Sustainable Self, Llc | |
|
950 Wadsworth Blvd 201 Lakewood CO 80214-4591 | |
| (720) 924-1523 | |
| Not Available |
| Full Name | The Sustainable Self, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 950 Wadsworth Blvd, Lakewood, Colorado |
| Authorized Official Name and Position | Amy Davis (PROFESSIONAL COUNSELOR/OWNER) |
| Authorized Official Contact | 7209241523 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Sustainable Self, Llc 2470 Lewis St Lakewood CO 80215-1349 Ph: (720) 924-1523 | The Sustainable Self, Llc 950 Wadsworth Blvd 201 Lakewood CO 80214-4591 Ph: (720) 924-1523 |
| NPI Number | 1891118857 |
|---|---|
| Provider Enumeration Date | 01/28/2014 |
| Last Update Date | 01/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891118857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 11224 (Colorado) | Primary |
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