NPI 1396285003 · live from the CMS NPI Registry
A Peaceful Life Counseling Services
Social Worker, Clinical in Lakewood, CO. National Provider Identifier 1396285003, active.
NPI record
| NPI | 1396285003 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 950 Wadsworth Blvd Ste 120, Lakewood, CO 80214 |
| Practice phone | 720-443-1947 |
| Enumerated | February 28, 2017 |
| Last updated | February 28, 2017 |
| Authorized official | Katharine Mindenhall, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Professional | 101YP2500X | 12435 (CO) |
| Social Worker, Clinical primary | 1041C0700X | 1622 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.