Provider Demographics
NPI:1073970760
Name:MINDFUL LIVING POSSIBILITIES
Entity Type:Organization
Organization Name:MINDFUL LIVING POSSIBILITIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COACH/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZUMWALT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-882-6224
Mailing Address - Street 1:7355 S PEORIA ST UNIT A12
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80112-4532
Mailing Address - Country:US
Mailing Address - Phone:720-882-6224
Mailing Address - Fax:
Practice Address - Street 1:7355 S PEORIA ST UNIT A12
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80112-4532
Practice Address - Country:US
Practice Address - Phone:720-882-6224
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-26
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth ServiceGroup - Single Specialty