Provider Demographics
NPI:1518357300
Name:AMELIA POWERS LCSW LLC
Entity Type:Organization
Organization Name:AMELIA POWERS LCSW LLC
Other - Org Name:AMELIA POWERS LCSW
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:AMELIA
Authorized Official - Middle Name:G
Authorized Official - Last Name:POWERS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:303-335-6273
Mailing Address - Street 1:46-075 MEHEANU PL APT 3331
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-3692
Mailing Address - Country:US
Mailing Address - Phone:303-335-6273
Mailing Address - Fax:
Practice Address - Street 1:2875 GRAY ST STE 204
Practice Address - Street 2:
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80214-8123
Practice Address - Country:US
Practice Address - Phone:303-335-6273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-31
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1758251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health