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General NPI Number Information
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NPI Number | 1487472247
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Entity Type | Organization
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Legal Business Name | OVERCOMERS COUNSELING
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Dates
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Enumeration Date | 10/01/2024
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Last Update Date | 10/01/2024
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Provider Practice Location Address
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Address Line | 2860 S CIRCLE DR STE G45
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City | COLORADO SPRINGS
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State | CO
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Zip | 80906-4113
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Country | US
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Telephone | 719-481-3518
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Fax | 855-719-2549
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Provider Business Mailing Address
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Address Line | 5585 ERINDALE DR STE 204
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-6969
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Country | US
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Telephone | 719-345-2424
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Fax | 855-719-2549
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Authorized Official
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Title or Position | OWNER
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Name | JENNIFER LYNN LUTTMAN
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Credential | LPC
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Telephone | 719-345-2424
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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Taxonomy #4
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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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