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General NPI Number Information
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NPI Number | 1083555890
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Entity Type | Organization
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Legal Business Name | WILD AND WONDERFUL LIFE LLC
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Dates
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Enumeration Date | 04/03/2026
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Last Update Date | 04/03/2026
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Provider Practice Location Address
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Address Line | 5511 W 56TH AVE UNIT 100
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City | ARVADA
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State | CO
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Zip | 80002-2807
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Country | US
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Telephone | 708-740-0136
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Fax |
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Provider Business Mailing Address
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Address Line | 5511 W 56TH AVE UNIT 100
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City | ARVADA
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State | CO
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Zip | 80002-2807
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Country | US
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Telephone | 708-740-0136
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINICAL DIRECTOR
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Name | ALEYA LITTLETON
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Credential | MA, LPC
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Telephone | 570-909-7529
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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