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General NPI Number Information
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NPI Number | 1184486904
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Entity Type | Organization
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Legal Business Name | TWO TREES THERAPY SERVICES
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Dates
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Enumeration Date | 01/26/2024
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Last Update Date | 01/25/2025
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Provider Practice Location Address
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Address Line | 6860 S YOSEMITE CT # 2218
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City | CENTENNIAL
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State | CO
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Zip | 80112-1409
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Country | US
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Telephone | 630-292-4757
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Fax |
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Provider Business Mailing Address
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Address Line | 6860 S YOSEMITE CT # 2218
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City | CENTENNIAL
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State | CO
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Zip | 80112-1409
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Country | US
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Telephone | 207-500-2062
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Fax | 303-796-0545
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Authorized Official
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Title or Position | OWNER CLINICIAN
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Name | DR. FAYE KOUIMELIS
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Credential | PSYD, OTR
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Telephone | 630-292-4757
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XM0800X
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Taxonomy Name | Mental Health Occupational Therapist
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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