LIFE UNTANGLED, LLC (NPI# 1669838710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669838710 |
| Entity Type | Organization |
| Organization Name | LIFE UNTANGLED, LLC |
| Practice Address |
330 W Main St Ste B Sterling CO 80751-3177 |
| Practice Telephone | 9705200738 |
| Mailing Telephone | 9705200738 |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2016-01-05 |
| Authorized Official Name | JAMIE DAWN SOUCIE (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Telephone | 9705200738 |
| Authorized Official Credential | MS, LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | CO | Managed Care Organizations |
| Street Address |
330 W MAIN ST STE B |
| City | STERLING |
| State | CO |
| Zip Code | 80751-3177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114557915 | Advantage Treatment Centers Inc | Clinic/Center | 12220 Hwy 61, Sterling, CO 80751 | 2020-01-21 |
| 1477018786 | Elizabeth Broadwell | Nurse Practitioner | 12101 Co-61, Sterling, CO 80751 | 2019-01-31 |
| 1396102794 | Jamie Soucie | Counselor | 330 W. Maint St. Ste B, Sterling, CO 80751 | 2016-01-15 |
| 1023487469 | Tappy Health & Wellness, Inc. | Physical Therapist | 309 S Railway St, Sterling, CO 80751 | 2015-09-16 |
| 1033465257 | Patricia Carol Smith | Physical Therapist | 100 Broadway St. Suite 24, Sterling, CO 80751 | 2012-07-25 |
| 1770855900 | Total Renal Care Inc | Clinic/Center | 603 Holly Dr, Sterling, CO 80751 | 2012-02-03 |
| 1609172782 | Keyna I Schlup | Family Medicine | 428 S 2nd St, Sterling, CO 80751 | 2011-02-07 |
| 1871811604 | Alexis Balstad | Obstetrics & Gynecology | 1405 S 8th Ave Suite 105, Sterling, CO 80751 | 2010-05-04 |
| 1770705659 | Donna Bishop Davis | Marriage & Family Therapist | 228 South Third Street, Suite 1, Sterling, CO 80751 | 2007-05-02 |
| 1659406338 | Kimberly Ann Suter | Dentist | 617 W Main Street, Sterling, CO 80751 | 2007-02-22 |
| Find all providers in zip 80751 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
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| 1851878631 | Front Range Health Partners, LLC | Preferred Provider Organization | 9101 Harlan St Unit 100, Westminster, CO 80031-2961 | 2018-07-24 |
| 1649787599 | Diabetes Wellness Solutions, LLC | Preferred Provider Organization | 23911 E Arapahoe Rd, Aurora, CO 80016-4120 | 2018-01-01 |
| 1285161760 | Kantor Dental Group Pllc | Preferred Provider Organization | 4760 W Mineral Ave Ste 60, Littleton, CO 80128-2540 | 2017-05-16 |
| 1750813697 | Nos Counseling, LLC | Preferred Provider Organization | 1776 S Jackson St Ste 704, Denver, CO 80210-3806 | 2017-03-30 |
| 1760832398 | Cope Family Dental | Preferred Provider Organization | 71 Erie Pkwy Unit 101, Erie, CO 80516-2520 | 2016-06-14 |
| 1093172462 | Fire Fly Autism | Preferred Provider Organization | 1332 6th St, Boulder, CO 80302-5801 | 2016-01-15 |
| 1184097636 | Professional Sleep Services | Preferred Provider Organization | 962 White Hawk Ranch Dr, Boulder, CO 80303-1684 | 2015-11-05 |
| 1376913756 | Little Parker Dental Center | Preferred Provider Organization | 10345 Parkglenn Way Ste 200, Parker, CO 80138-3884 | 2015-09-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.