| Live Your Light | |
|
440 Main Street Suite 3 Lyons CO 80540 | |
| (928) 451-1780 | |
| Not Available |
| Full Name | Live Your Light |
|---|---|
| Speciality | Counselor - Professional |
| Location | 440 Main Street, Lyons, Colorado |
| Authorized Official Name and Position | Leann Woods (OWNER) |
| Authorized Official Contact | 9284511780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Live Your Light Po Box 673 Lyons CO 80540-0673 Ph: () - | Live Your Light 440 Main Street Suite 3 Lyons CO 80540 Ph: (928) 451-1780 |
| NPI Number | 1376206896 |
|---|---|
| Provider Enumeration Date | 10/21/2021 |
| Last Update Date | 10/21/2021 |
| Certification Date | 10/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376206896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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