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General NPI Number Information
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NPI Number | 1558098699
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Entity Type | Organization
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Legal Business Name | YOUR BEST BRAIN COUNSELING, LLC
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Dates
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Enumeration Date | 08/08/2022
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 1277 KELLY JOHNSON BLVD STE 160
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-3992
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Country | US
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Telephone | 719-257-3540
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Fax | 720-753-5197
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Provider Business Mailing Address
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Address Line | 1522 LYLE DR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80915-2048
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Country | US
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Telephone | 970-580-4249
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | CANDACE RODGERS
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Credential | LCSW
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Telephone | 719-257-3540
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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