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
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