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General NPI Number Information
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NPI Number | 1538964101
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Entity Type | Organization
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Legal Business Name | CREATIVE REFLECTIONS THERAPY LLC
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Dates
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Enumeration Date | 02/17/2025
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 11990 GRANT ST STE 550
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City | NORTHGLENN
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State | CO
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Zip | 80233-1101
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Country | US
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Telephone | 303-578-0611
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Fax | 983-203-9544
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Provider Business Mailing Address
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Address Line | 483 E 111TH PL
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City | NORTHGLENN
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State | CO
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Zip | 80233-3073
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Country | US
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Telephone | 303-725-0996
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DOROTHY ROGOWSKI
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Credential | LPC
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Telephone | 303-725-0996
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #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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