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General NPI Number Information
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NPI Number | 1467309344
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Entity Type | Organization
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Legal Business Name | THE RED DOOR COUNSELING & EDUCATIONAL SERVICES
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Dates
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Enumeration Date | 03/11/2026
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Last Update Date | 03/11/2026
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Provider Practice Location Address
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Address Line | 5338 W HOGE DR
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City | BLOOMINGTON
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State | IN
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Zip | 47403-8006
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Country | US
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Telephone | 719-239-1928
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Fax |
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Provider Business Mailing Address
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Address Line | 2519 S SHIELDS ST STE 1K
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City | FORT COLLINS
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State | CO
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Zip | 80526-1855
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Country | US
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Telephone | 720-204-8731
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Fax |
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Authorized Official
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Title or Position | FOUNDER/DIRECTOR/THERAPIST
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Name | EMILY MACNIVEN
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Credential | LPC
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Telephone | 720-204-8731
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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