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NPI 1033856026

NPI 1033856026 : TIME FOR ME, LLC : CANON CITY, CO

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General NPI Number Information
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    NPI Number           |    1033856026
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    Entity Type          |    Organization 
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    Legal Business Name  |    TIME FOR ME, LLC 
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Dates
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    Enumeration Date     |    05/19/2022
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    Last Update Date     |    05/19/2022
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Provider Practice Location Address
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    Address Line         |    729 MAIN ST 
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    City                 |    CANON CITY
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    State                |    CO
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    Zip                  |    81212-3738
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    Country              |    US
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    Telephone            |    719-212-1242
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    306 MAIN ST # 558 
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    City                 |    CANON CITY
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    State                |    CO
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    Zip                  |    81212-3732
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    Country              |    US
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    Telephone            |    719-212-1242
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     CINDY  GEIGER 
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    Credential           |    LPC
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    Telephone            |    719-212-1242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    
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    License Number State |    
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