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NPI 1326996737

NPI 1326996737 : FAMILY SUPPORT CENTER OF COLORADO, LLC : LAKEWOOD, CO

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General NPI Number Information
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    NPI Number           |    1326996737
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    Entity Type          |    Organization 
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    Legal Business Name  |    FAMILY SUPPORT CENTER OF COLORADO, LLC 
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Dates
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    Enumeration Date     |    03/20/2026
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    Last Update Date     |    03/20/2026
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Provider Practice Location Address
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    Address Line         |    6555 W COLFAX AVE 
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    City                 |    LAKEWOOD
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    State                |    CO
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    Zip                  |    80214-1803
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    Country              |    US
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    Telephone            |    719-540-2152
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    Fax                  |    719-540-2101
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Provider Business Mailing Address
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    Address Line         |    1330 QUAIL LAKE LOOP STE 200 
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    City                 |    COLORADO SPRINGS
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    State                |    CO
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    Zip                  |    80906-4651
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    Country              |    US
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    Telephone            |    719-540-2152
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    Fax                  |    719-540-2101
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Authorized Official
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    Title or Position    |    OPERATIONS DIRECTOR
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    Name                 |     SHERIE  TERRANOVA 
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    Credential           |    
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    Telephone            |    719-540-2152
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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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        |    103T00000X
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    Taxonomy Name        |    Psychologist
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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        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    261QM0855X
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    Taxonomy Name        |    Adolescent and Children Mental Health Clinic/Center
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    License Number       |    
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    License Number State |    
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