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General NPI Number Information
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NPI Number | 1215554753
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Entity Type | Organization
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Legal Business Name | OPTIMUM GUIDANCE BEHAVIOR CONSULTING, LLC
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Dates
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Enumeration Date | 07/01/2020
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 2 ADAMS ST APT 1406
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City | DENVER
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State | CO
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Zip | 80206-5727
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Country | US
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Telephone | 541-761-6230
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Fax |
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Provider Business Mailing Address
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Address Line | 2 ADAMS ST APT 1406
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City | DENVER
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State | CO
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Zip | 80206-5727
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CARRIE MYERS
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Credential |
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Telephone | 541-761-6230
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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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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