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General NPI Number Information
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NPI Number | 1255843488
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Entity Type | Organization
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Legal Business Name | LEGACY PROJECT LLC DBA THERAPY MATTERS LLC
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Dates
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Enumeration Date | 10/27/2017
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 1400 MAIN ST STE 101
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City | LOUISVILLE
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State | CO
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Zip | 80027-3046
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Country | US
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Telephone | 720-684-9845
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 MAIN ST STE 101
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City | LOUISVILLE
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State | CO
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Zip | 80027-3046
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Country | US
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Telephone | 720-684-9845
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | COLLEEN MARY TODD
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Credential | MA LPC CACIII
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Telephone | 720-270-8389
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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