Provider Demographics
NPI:1598152340
Name:LIFE INVISION, LLC
Entity Type:Organization
Organization Name:LIFE INVISION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:R
Authorized Official - Last Name:MANN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:720-484-1247
Mailing Address - Street 1:PO BOX 471
Mailing Address - Street 2:
Mailing Address - City:NIWOT
Mailing Address - State:CO
Mailing Address - Zip Code:80544-0471
Mailing Address - Country:US
Mailing Address - Phone:720-822-4242
Mailing Address - Fax:
Practice Address - Street 1:8671 WOLFF CT
Practice Address - Street 2:220
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031-3609
Practice Address - Country:US
Practice Address - Phone:720-822-4242
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-20
Last Update Date:2015-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5338251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health