Provider Demographics
NPI:1518326305
Name:INTEGRATED WELLNESS AND STRATEGIES, LLC
Entity Type:Organization
Organization Name:INTEGRATED WELLNESS AND STRATEGIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:WOLFE
Authorized Official - Last Name:PEARSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:720-644-6378
Mailing Address - Street 1:PO BOX 155
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80038-0155
Mailing Address - Country:US
Mailing Address - Phone:720-644-6378
Mailing Address - Fax:720-446-3520
Practice Address - Street 1:11001 W 120TH AVE
Practice Address - Street 2:SUITE 400
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80021-3494
Practice Address - Country:US
Practice Address - Phone:720-644-6378
Practice Address - Fax:720-446-3520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-22
Last Update Date:2016-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC-6479101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty