Organization · NPI-2
Ag Ventures LLC
Clinic/Center, Adult Mental Health · Colorado Springs, CO
NPI number1699356675
StatusActive
Last updated in NPPESJul 11, 2025
Details
- NPI
- 1699356675
- Entity type
- Organization (NPI-2)
- Legal business name
- Ag Ventures LLC
- Organization subpart
- No
- Enumeration date
- Apr 20, 2021
- Certification date
- Jul 11, 2025
- Last updated
- Jul 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | Yes |
Other names
- Lifewise Behavioral Health (Doing Business As)
Practice location
6475 Wall St Ste 150Colorado Springs, CO 80918-8374
Phone 719-235-2824
Mailing address
9235 N Union Blvd Ste 150-375Colorado Springs, CO 80920-7831
Authorized official
Amber Gates
Owner
7192352824
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