Organization · NPI-2

A Life Empowered, LLC

Social Worker, Clinical · Fort Collins, CO

NPI number1013475748
StatusActive
Last updated in NPPESMar 12, 2019

Details

NPI
1013475748
Entity type
Organization (NPI-2)
Legal business name
A Life Empowered, LLC
Organization subpart
No
Enumeration date
Mar 12, 2019
Last updated
Mar 12, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical––Yes

Practice location

612 Powderhorn Dr
Fort Collins, CO 80526-2607

Phone 970-214-8965

Mailing address

612 Powderhorn Dr
Fort Collins, CO 80526-2607

Phone 970-214-8965

Authorized official

Ashley L Hood
Owner
9702148965

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