Provider Demographics
NPI:1437742046
Name:EMBER WELLNESS SERVICES LTD.
Entity Type:Organization
Organization Name:EMBER WELLNESS SERVICES LTD.
Other - Org Name:EMBER WELLNESS SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:PARTNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:PHOENIX
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:307-333-3598
Mailing Address - Street 1:8588 W TOLLER AVE
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80128-6262
Mailing Address - Country:US
Mailing Address - Phone:307-333-3598
Mailing Address - Fax:
Practice Address - Street 1:4891 INDEPENDENCE ST STE 200
Practice Address - Street 2:
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-6714
Practice Address - Country:US
Practice Address - Phone:307-333-3598
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-15
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty