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NPI 1295672822

NPI 1295672822 : OPEN DOOR MENTAL WELLNESS : NORTHGLENN, CO

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General NPI Number Information
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    NPI Number           |    1295672822
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    Entity Type          |    Organization 
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    Legal Business Name  |    OPEN DOOR MENTAL WELLNESS 
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Dates
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    Enumeration Date     |    05/01/2026
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    Last Update Date     |    05/01/2026
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Provider Practice Location Address
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    Address Line         |    3126 E 108TH DR 
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    City                 |    NORTHGLENN
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    State                |    CO
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    Zip                  |    80233-4620
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    Country              |    US
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    Telephone            |    207-776-0900
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3126 E 108TH DR 
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    City                 |    NORTHGLENN
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    State                |    CO
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    Zip                  |    80233-4620
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    Country              |    US
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    Telephone            |    207-776-0900
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    Fax                  |    
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Authorized Official
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    Title or Position    |    THERAPIST
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    Name                 |     ROBERT J DORR 
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    Credential           |    
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    Telephone            |    720-593-8645
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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