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General NPI Number Information
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NPI Number | 1154234276
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Entity Type | Organization
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Legal Business Name | DESIRED CHANGE LLC
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 8008 E ARAPAHOE CT # 103
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City | CENTENNIAL
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State | CO
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Zip | 80112-6839
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Country | US
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Telephone | 504-510-1447
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Fax |
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Provider Business Mailing Address
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Address Line | 582 NILE ST
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City | AURORA
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State | CO
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Zip | 80010-4732
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Country | US
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Telephone | 720-689-3512
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | ALEXIS TOUSSAINT
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Credential | DSW, LCSW
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Telephone | 504-510-1447
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | NULL
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