Wellformed AI

NPI 1801635768 · live from the CMS NPI Registry

Advocacy Lab, LLC

Social Worker, Clinical in Livermore, CO. National Provider Identifier 1801635768, active.

NPI record

NPI1801635768 Type 2 · organization
StatusActive
Primary specialtySocial Worker, Clinical 1041C0700X
Practice location279 W Quandary Ct, Livermore, CO 80536
Practice phone970-232-8887
Mailing addressPo Box 2271, Fort Collins, CO 80522
EnumeratedMay 21, 2024
Last updatedMay 21, 2024
Authorized officialChristopher Dickson, Ceo
Other namesAdvocacy Lab

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker, Clinical primary1041C0700X—
Clinic/Center, Mental Health (Including Community Mental Health Center)261QM0801X—

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