Organization
CENTER FOR LIFE CHANGE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE ELLEN PLATTNER LCSW (OWNER)
(720) 748-8113
Entity
Organization
Contact information
Practice address
950 WADSWORTH BLVD, SUITE 201, LAKEWOOD, CO 80214-4591
(720) 748-8113
(303) 954-0083
Mailing address
950 WADSWORTH BLVD, SUITE 201, LAKEWOOD, CO 80214-4591
(720) 748-8113
(303) 954-0083
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW9918097
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CSW00991807
LICENSE
CO
Enumeration date
03/12/2014
Last updated
10/28/2016
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