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EXPERIENTIAL FAMILY THERAPY AND TRAINING CENTER LLC NPI 1891394177


NPI Information

NPI: 1891394177
Provider Name: EXPERIENTIAL FAMILY THERAPY AND TRAINING CENTER, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
7175 W JEFFERSON AVE STE 1200
LAKEWOOD, CO
ZIP 80235
Phone: (720) 757-1988
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EXPERIENTIAL FAMILY THERAPY AND TRAINING CENTER, LLC is a mental health counselor in Lakewood, CO. EXPERIENTIAL FAMILY THERAPY AND TRAINING CENTER, LLC NPI is 1891394177. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

7175 W JEFFERSON AVE STE 1200
LAKEWOOD, CO
ZIP 80235-380
Phone: (720) 757-1988
Fax: (720) 306-5522

The provider's authorized official is Lacie Killion .
The authorized official title is Owner/director and has the following contact phone number (720) 757-1988.

The enumeration date for this NPI number is 10/19/2020 and was last updated on 10/19/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ACA.0001175OTHERCOLORADOLICENSED ADDICTION COUNSELOR
21356798078OTHERINDIVIDUAL NPI
3MFT.0001840OTHERCOLORADOMARRIAGE AND FAMILY THERAPIST

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.