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General NPI Number Information
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NPI Number | 1346627072
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Entity Type | Organization
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Legal Business Name | HEART OF LIFE COUNSELING LLC
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Dates
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Enumeration Date | 05/01/2015
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Last Update Date | 11/07/2019
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Provider Practice Location Address
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Address Line | 3600 S BEELER ST STE 340
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City | DENVER
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State | CO
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Zip | 80237-1801
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Country | US
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Telephone | 720-226-6731
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Fax |
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Provider Business Mailing Address
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Address Line | 7995 E MISSISSIPPI AVE J3
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City | DENVER
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State | CO
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Zip | 80247-2015
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Country | US
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Telephone | 720-226-6731
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Fax | 303-322-1087
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | BRENDA ARIEL SMITH
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Credential | LPC
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Telephone | 720-226-6731
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 11759
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License Number State | CO
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