Organization
LIFELONG, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSEY SPRAKER LCSW (EXECUTIVE DIRECTOR)
(720) 582-3086
Entity
Organization
Contact information
Practice address
7175 W JEFFERSON AVE STE 4000, LAKEWOOD, CO 80235-2336
(303) 573-0839
Mailing address
7175 W JEFFERSON AVE STE 4000, LAKEWOOD, CO 80235-2336
(303) 573-0839
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
76983048
—
CO
05
—
9000160356
—
CO
Enumeration date
10/22/2020
Last updated
10/22/2020
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