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NPI 1477345635

NPI 1477345635 : EMPOWER RECOVERY LLC : NORTHGLENN, CO

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General NPI Number Information
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    NPI Number           |    1477345635
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    Entity Type          |    Organization 
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    Legal Business Name  |    EMPOWER RECOVERY LLC 
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Dates
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    Enumeration Date     |    05/21/2025
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    Last Update Date     |    05/30/2025
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Provider Practice Location Address
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    Address Line         |    11186 LIVINGSTON DR 
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    City                 |    NORTHGLENN
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    State                |    CO
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    Zip                  |    80234-6200
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    Country              |    US
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    Telephone            |    720-530-9809
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1235 W 112TH AVE UNIT C 
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    City                 |    WESTMINSTER
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    State                |    CO
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    Zip                  |    80234-4347
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    Country              |    US
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    Telephone            |    720-678-6910
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DIRECTOR OF BUSINESS DEVELOPMENT
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    Name                 |     ELIJAH  PASTORIUS 
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    Credential           |    
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    Telephone            |    720-678-6910
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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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        |    261QR0405X
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    Taxonomy Name        |    Substance Use Disorder Rehabilitation Clinic/Center
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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        |    101Y00000X
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    Taxonomy Name        |    Counselor
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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        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    175T00000X
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    Taxonomy Name        |    Peer Specialist
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #8
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    Taxonomy Code        |    324500000X
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    Taxonomy Name        |    Substance Abuse Rehabilitation Facility
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    License Number       |    
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    License Number State |    
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