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General NPI Number Information
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NPI Number | 1356157838
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Entity Type | Organization
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Legal Business Name | WELLNESS PSYCHIATRY, PLLC
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Dates
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Enumeration Date | 12/09/2024
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Last Update Date | 04/18/2025
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Provider Practice Location Address
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Address Line | 1658 COLE BLVD STE 210
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City | LAKEWOOD
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State | CO
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Zip | 80401-3304
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Country | US
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Telephone | 303-747-5051
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Fax | 724-204-1648
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Provider Business Mailing Address
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Address Line | 1658 COLE BLVD STE 210
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City | LAKEWOOD
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State | CO
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Zip | 80401-3304
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Country | US
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Telephone | 303-747-5051
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Fax | 724-204-1648
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Authorized Official
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Title or Position | OWNER, PMHNP
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Name | AMANDA FARRELL
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Credential | NP
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Telephone | 303-747-5051
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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