Organization
THE SUSTAINABLE SELF, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY DAVIS MA, LPC (PROFESSIONAL COUNSELOR/OWNER)
(720) 924-1523
Entity
Organization
Contact information
Practice address
950 WADSWORTH BLVD, 201, LAKEWOOD, CO 80214-4591
(720) 924-1523
Mailing address
2470 LEWIS ST, LAKEWOOD, CO 80215-1349
(720) 924-1523
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
11224
CO
Other
Enumeration date
01/28/2014
Last updated
01/28/2014
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