| Life Expansion LLC | |
|
9950 Hidden Ranch Ct Peyton CO 80831-6530 | |
| (719) 232-4854 | |
| Not Available |
| Full Name | Life Expansion LLC |
|---|---|
| Speciality | Social Worker |
| Location | 9950 Hidden Ranch Ct, Peyton, Colorado |
| Authorized Official Name and Position | Catrina Chatfield (OWNER) |
| Authorized Official Contact | 7192324854 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Expansion LLC 9950 Hidden Ranch Ct Peyton CO 80831-6530 Ph: (719) 232-4854 | Life Expansion LLC 9950 Hidden Ranch Ct Peyton CO 80831-6530 Ph: (719) 232-4854 |
| NPI Number | 1972322907 |
|---|---|
| Provider Enumeration Date | 10/07/2024 |
| Last Update Date | 10/07/2024 |
| Certification Date | 10/07/2024 |
| Medicare PECOS PAC ID | 6103303136 |
|---|---|
| Medicare Enrollment ID | O20260121003775 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972322907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | () | Primary |
| Provider Name | Catrina Chatfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619862554 PECOS PAC ID: 4880177427 Enrollment ID: I20260312000962 |
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