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General NPI Number Information
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NPI Number | 1295367910
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Entity Type | Organization
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Legal Business Name | TRIBE WELLNESS, LLC
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Dates
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Enumeration Date | 02/11/2020
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 1075 S YUKON ST STE 220
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City | LAKEWOOD
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State | CO
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Zip | 80226-4346
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Country | US
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Telephone | 303-351-2364
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Fax |
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Provider Business Mailing Address
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Address Line | 1075 S YUKON ST STE 220
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City | LAKEWOOD
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State | CO
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Zip | 80226-4346
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Country | US
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Telephone | 303-351-2364
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Fax |
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Authorized Official
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Title or Position | THERAPIST/OWNER
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Name | EMILY FRYER GARCIA
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Credential | LCSW
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Telephone | 303-351-2364
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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