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General NPI Number Information
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NPI Number | 1033402433
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Entity Type | Organization
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Legal Business Name | TAKEFLIGHT COUNSELING, LLC
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Dates
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Enumeration Date | 05/18/2011
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Last Update Date | 05/18/2011
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Provider Practice Location Address
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Address Line | 4800 W 80TH AVE # 260
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City | WESTMINSTER
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State | CO
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Zip | 80030-4400
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Country | US
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Telephone | 720-620-2795
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Fax |
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Provider Business Mailing Address
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Address Line | 4800 W 80TH AVE # 260
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City | WESTMINSTER
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State | CO
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Zip | 80030-4400
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Country | US
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Telephone | 720-620-2795
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. LINDA JEAN STEECE
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Credential | MC, LPC
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Telephone | 720-620-2795
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 5445
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License Number State | CO
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