Provider Demographics
NPI:1376994368
Name:KEY TO LIFE COUNSELING
Entity Type:Organization
Organization Name:KEY TO LIFE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED ADDICATION COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:HENRY
Authorized Official - Last Name:PARHAM
Authorized Official - Suffix:
Authorized Official - Credentials:CACIII
Authorized Official - Phone:720-530-6638
Mailing Address - Street 1:14231 E 4TH AVE BLDG 1
Mailing Address - Street 2:SUITE 370
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80011-8734
Mailing Address - Country:US
Mailing Address - Phone:303-856-3485
Mailing Address - Fax:303-856-3175
Practice Address - Street 1:14231 E 4TH AVE BLDG 1
Practice Address - Street 2:SUITE 370
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-8734
Practice Address - Country:US
Practice Address - Phone:303-856-3485
Practice Address - Fax:303-856-3175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-30
Last Update Date:2016-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACC.0007027251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management