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General NPI Number Information
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NPI Number | 1285503441
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Entity Type | Organization
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Legal Business Name | PEACE OF MIND COLLABORATIVE
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Dates
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Enumeration Date | 11/04/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 187 E KIOWA AVE
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City | ELIZABETH
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State | CO
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Zip | 80107-7452
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Country | US
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Telephone | 303-418-4573
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Fax | 303-418-4573
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Provider Business Mailing Address
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Address Line | 187 E KIOWA AVE
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City | ELIZABETH
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State | CO
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Zip | 80107-7452
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Country | US
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Telephone | 303-418-4573
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Fax | 303-418-4573
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Authorized Official
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Title or Position | PRESIDENT
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Name | SARA SHORT
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Credential |
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Telephone | 303-418-4573
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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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Taxonomy #2
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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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