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General NPI Number Information
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NPI Number | 1073317251
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Entity Type | Organization
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Legal Business Name | M1 GROUP OF COLORADO
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Dates
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Enumeration Date | 04/04/2025
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 1304 N ACADEMY BLVD STE 205
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-3318
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Country | US
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Telephone | 719-761-0266
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Fax |
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Provider Business Mailing Address
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Address Line | 1304 N ACADEMY BLVD STE 205
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-3318
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Country | US
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Telephone | 719-761-0266
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MELVIN T GRIER
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Credential | LCSW, CAS
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Telephone | 719-661-4426
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #4
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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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