| Lifepath Center Pllc | |
|
3609 Austin Bluffs Pkwy Ste 31-1231 Colorado Springs CO 80918-6671 | |
| (303) 522-9240 | |
| Not Available |
| Full Name | Lifepath Center Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 3609 Austin Bluffs Pkwy Ste 31-1231, Colorado Springs, Colorado |
| Authorized Official Name and Position | Jocelyn Marie Farrar (OWNER) |
| Authorized Official Contact | 3035229240 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifepath Center Pllc 4334 Yellow Dock Pt Colorado Springs CO 80911-3194 Ph: (719) 201-7270 | Lifepath Center Pllc 3609 Austin Bluffs Pkwy Ste 31-1231 Colorado Springs CO 80918-6671 Ph: (303) 522-9240 |
| NPI Number | 1184348922 |
|---|---|
| Provider Enumeration Date | 09/26/2022 |
| Last Update Date | 11/03/2022 |
| Certification Date | 11/03/2022 |
| Medicare PECOS PAC ID | 6709235161 |
|---|---|
| Medicare Enrollment ID | O20231211000868 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184348922 | NPI | - | NPPES |
| Provider Name | Jocelyn Aleiadih |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134843857 PECOS PAC ID: 4082063789 Enrollment ID: I20240103003102 |
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