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General NPI Number Information
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NPI Number | 1194483586
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Entity Type | Organization
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Legal Business Name | TEEN CHALLENGE OF THE ROCKY MOUNTAINS INC
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Dates
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Enumeration Date | 12/02/2021
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 3333 S BANNOCK ST STE 1020
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City | ENGLEWOOD
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State | CO
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Zip | 80110-2512
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Country | US
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Telephone | 303-744-3986
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 336
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City | ENGLEWOOD
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State | CO
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Zip | 80151-0336
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Country | US
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Telephone | 720-389-9142
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIR/COUNSELING SUP
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Name | DAVID SELLAR
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Credential | LPC, LAC
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Telephone | 720-389-9142
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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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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #4
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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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Taxonomy #5
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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