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General NPI Number Information
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NPI Number | 1487310140
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Entity Type | Organization
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Legal Business Name | MINDSTRONG HEALTH SERVICES CO PC
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Dates
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Enumeration Date | 11/16/2021
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Last Update Date | 06/09/2022
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Provider Practice Location Address
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Address Line | 7700 E ARAPAHOE RD STE 220
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City | CENTENNIAL
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State | CO
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Zip | 80112-1268
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Country | US
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Telephone | 650-850-7050
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Fax |
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Provider Business Mailing Address
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Address Line | 303 BRYANT ST
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94041-1552
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Country | US
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Telephone | 650-850-7050
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Fax |
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Authorized Official
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Title or Position | CASE MANAGER LLL
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Name | FRAN MCKOY
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Credential | MSW, LCSW
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Telephone | 256-531-3779
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 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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Taxonomy #3
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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