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General NPI Number Information
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NPI Number | 1548144702
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Entity Type | Organization
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Legal Business Name | COMPASSION AND GRACE IN HOME MENTAL HEALTH THERAPY PLLC
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Dates
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Enumeration Date | 08/01/2025
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 7405 W ARIZONA PL
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City | LAKEWOOD
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State | CO
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Zip | 80232-5416
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Country | US
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Telephone | 970-371-9404
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Fax |
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Provider Business Mailing Address
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Address Line | 7405 W ARIZONA PL
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City | LAKEWOOD
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State | CO
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Zip | 80232-5416
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Country | US
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Telephone | 970-371-9404
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ISABLE MARIE SMITH
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Credential | LCSW
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Telephone | 970-371-9404
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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 #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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