Wellformed AI

NPI 1013475748 · live from the CMS NPI Registry

A Life Empowered, LLC

Social Worker, Clinical in Fort Collins, CO. National Provider Identifier 1013475748, active.

NPI record

NPI1013475748 Type 2 · organization
StatusActive
Primary specialtySocial Worker, Clinical 1041C0700X
Practice location612 Powderhorn Dr, Fort Collins, CO 80526
Practice phone970-214-8965
EnumeratedMarch 12, 2019
Last updatedMarch 12, 2019
Authorized officialAshley Hood, Owner

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker, Clinical primary1041C0700X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.