Infinite Self Counseling And Wellness LLC
Social Worker, Clinical in Boulder, CO. Organization (NPI-2).
NPI number1104737600
StatusActive
Last updated in NPPESSep 14, 2026
Details
- NPI
- 1104737600
- Entity type
- Organization (NPI-2)
- Legal business name
- Infinite Self Counseling And Wellness LLC
- Organization subpart
- No
- Enumeration date
- Sep 14, 2026
- Certification date
- Sep 14, 2026
- Last updated
- Sep 14, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
595 Canyon Blvd Ste DBoulder, CO 80302-5125
Phone 303-949-3636
Mailing address
807 Hays CirLongmont, CO 80504-1345
Phone 303-949-3636
Authorized official
Lori Elizabeth Allen
Licensed Clinical Social Worker
3039493636
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