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General NPI Number Information
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NPI Number | 1225796808
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Entity Type | Organization
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Legal Business Name | BLUEBIRD MENTAL HEALTH & WELLNESS LLC
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Dates
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Enumeration Date | 12/01/2021
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Last Update Date | 01/11/2023
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Provider Practice Location Address
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Address Line | 10035 PEARL PASS VW STE 100
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City | COLORADO SPRINGS
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State | CO
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Zip | 80924-8223
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Country | US
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Telephone | 719-639-2486
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Fax |
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Provider Business Mailing Address
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Address Line | 7660 GODDARD ST STE 130
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-8231
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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 | PRESIDENT/NURSE PRACTITIONER
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Name | AMANDA BATTERBEE
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Credential | PMHNP-BC
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Telephone | 719-639-2486
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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