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General NPI Number Information
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NPI Number | 1295543973
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Entity Type | Organization
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Legal Business Name | MONTANA MINDSET THERAPY PLLC
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Dates
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Enumeration Date | 12/26/2024
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 4465 NORTHPARK DR STE 200
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907-4238
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Country | US
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Telephone | 719-290-5695
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Fax |
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Provider Business Mailing Address
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Address Line | 7847 HIDDEN PINE DR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80925-9400
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Country | US
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Telephone | 719-290-5695
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Fax |
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Authorized Official
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Title or Position | LMFT
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Name | LAURA L ACOSTA
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Credential |
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Telephone | 405-448-4028
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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