Provider Demographics
NPI:1780006676
Name:POETRY OF LIFE COUNSELING SERVICES
Entity Type:Organization
Organization Name:POETRY OF LIFE COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:BYE-WOLFE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:303-880-5270
Mailing Address - Street 1:PO BOX 92
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80601-0092
Mailing Address - Country:US
Mailing Address - Phone:303-880-5270
Mailing Address - Fax:720-685-8888
Practice Address - Street 1:36 SOUTH 18TH AVE
Practice Address - Street 2:D-3
Practice Address - City:BRIGHTON
Practice Address - State:CO
Practice Address - Zip Code:80601-4291
Practice Address - Country:US
Practice Address - Phone:303-880-5270
Practice Address - Fax:720-685-8888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-10
Last Update Date:2014-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0006249101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty