Organization
EMPOWERED LIVING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANAHITA LAKE-KHOSRAVI PSYD (CEO)
(720) 315-4647
Entity
Organization
Contact information
Practice address
3401 QUEBEC ST STE 4300, DENVER, CO 80207-2322
(720) 315-4647
Mailing address
3401 QUEBEC ST STE 4300, DENVER, CO 80207-2322
(720) 315-4647
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000210453
—
CO
Enumeration date
02/06/2023
Last updated
11/21/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up