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General NPI Number Information
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NPI Number | 1033007182
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Entity Type | Organization
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Legal Business Name | THE MIND BODY CONNECTION LLC
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Dates
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Enumeration Date | 06/26/2025
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 6860 S YOSEMITE CT STE 2218
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City | CENTENNIAL
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State | CO
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Zip | 80112-1409
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Country | US
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Telephone | 720-663-9691
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Fax |
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Provider Business Mailing Address
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Address Line | 8505 E ALAMEDA AVE UNIT 3436
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City | DENVER
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State | CO
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Zip | 80230-6063
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Country | US
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Telephone | 701-590-0798
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Fax |
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Authorized Official
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Title or Position | OWNER AND THERAPIST
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Name | KENDRA KOVASH
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Credential | LCSW
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Telephone | 720-663-9691
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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