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Organization

AG VENTURES LLC

Active
Other names
LifeWise Behavioral Health
Organization subpart
No

Provider details

NPI number
Authorized official
AMBER GATES NP (OWNER)
(719) 235-2824
Entity
Organization

Contact information

Practice address
6475 WALL ST STE 150, COLORADO SPRINGS, CO 80918-8374
(719) 235-2824
Mailing address
9235 N UNION BLVD STE 150-375, COLORADO SPRINGS, CO 80920-7831

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary

Other

Enumeration date
04/20/2021
Last updated
07/11/2025
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