Provider Demographics
NPI:1417428939
Name:LIFE CARE COUNSELING, LLC
Entity Type:Organization
Organization Name:LIFE CARE COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KERRI
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:AST
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:720-460-1576
Mailing Address - Street 1:10234 RUSTIC REDWOOD LN
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80126-5543
Mailing Address - Country:US
Mailing Address - Phone:720-460-1576
Mailing Address - Fax:
Practice Address - Street 1:9362 TEDDY LN STE 202
Practice Address - Street 2:
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-2871
Practice Address - Country:US
Practice Address - Phone:720-460-1576
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-10
Last Update Date:2018-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health