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General NPI Number Information
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NPI Number | 1104638956
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Entity Type | Organization
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Legal Business Name | TALL TREE COUNSELING, LLC
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Dates
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Enumeration Date | 01/20/2025
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Last Update Date | 04/13/2025
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Provider Practice Location Address
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Address Line | 1805 S BELLAIRE ST STE 400
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City | DENVER
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State | CO
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Zip | 80222-4321
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Country | US
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Telephone | 303-829-5413
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 16202
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City | DENVER
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State | CO
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Zip | 80216-0202
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Country | US
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Telephone | 303-829-5413
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Fax |
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Authorized Official
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Title or Position | PRINCIPAL COUNSELOR & OWNER
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Name | TONYA R EWERS
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Credential | LPC
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Telephone | 303-829-5413
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/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 | 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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