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General NPI Number Information
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NPI Number | 1083438576
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Entity Type | Organization
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Legal Business Name | INSIGHTFUL HEALING THERAPY, LLC
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Dates
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Enumeration Date | 11/11/2024
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Last Update Date | 11/11/2024
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Provider Practice Location Address
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Address Line | 338 S MAIN ST
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City | ELIZABETH
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State | CO
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Zip | 80107-7572
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Country | US
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Telephone | 720-675-0252
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Fax |
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Provider Business Mailing Address
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Address Line | 19550 E DICKENSON PL
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City | AURORA
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State | CO
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Zip | 80013-7683
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Country | US
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Telephone | 720-675-0252
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ROSE STOKES
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Credential | MFTC
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Telephone | 720-675-0252
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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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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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