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General NPI Number Information
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NPI Number | 1427780303
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Entity Type | Organization
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Legal Business Name | SAVING GRACE THERAPY SERVICES, PLLC
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Dates
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Enumeration Date | 06/29/2022
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Last Update Date | 07/19/2022
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Provider Practice Location Address
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Address Line | 56430 E 25TH AVE
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City | STRASBURG
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State | CO
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Zip | 80136-7564
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Country | US
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Telephone | 720-655-0093
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Fax |
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Provider Business Mailing Address
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Address Line | 4255 S BUCKLEY RD
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City | AURORA
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State | CO
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Zip | 80013-2951
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Country | US
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Telephone | 720-655-0093
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH COUNSELOR
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Name | VENNESSIA MARIE JIMENEZ
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Credential | LPC, NCC
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Telephone | 720-655-0093
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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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