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General NPI Number Information
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NPI Number | 1194241984
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Entity Type | Organization
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Legal Business Name | TAPESTRY OF HOPE COUNSELING, LLC
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Dates
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Enumeration Date | 08/14/2017
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Last Update Date | 11/23/2023
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Provider Practice Location Address
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Address Line | 6404 S QUEBEC ST BLDG 1
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City | CENTENNIAL
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State | CO
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Zip | 80111-4628
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Country | US
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Telephone | 720-263-1088
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Fax | 303-963-5456
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Provider Business Mailing Address
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Address Line | 6404 S QUEBEC ST BLDG 1
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City | CENTENNIAL
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State | CO
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Zip | 80111-4628
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Country | US
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Telephone | 720-263-1088
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Fax | 303-963-5456
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Authorized Official
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Title or Position | OWNER
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Name | PATRICIA MARLENE MULVANY
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Credential | MA, LPC, LAC
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Telephone | 303-981-2730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 0000824
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 0013661
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License Number State | CO
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