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NPI 1568264745

NPI 1568264745 : EMPOWERED PATH COUNSELING AND COACHING LLC : FORT COLLINS, CO

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General NPI Number Information
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    NPI Number           |    1568264745
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    Entity Type          |    Organization 
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    Legal Business Name  |    EMPOWERED PATH COUNSELING AND COACHING LLC 
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Dates
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    Enumeration Date     |    03/26/2025
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    Last Update Date     |    03/26/2025
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Provider Practice Location Address
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    Address Line         |    3003 E HARMONY RD STE 120 
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    City                 |    FORT COLLINS
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    State                |    CO
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    Zip                  |    80528-9625
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    Country              |    US
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    Telephone            |    866-285-2929
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3003 E HARMONY RD STE 120 
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    City                 |    FORT COLLINS
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    State                |    CO
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    Zip                  |    80528-9625
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    Country              |    US
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    Telephone            |    970-443-0846
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     MICHELLE KRISTEN COCHRAN-WARD 
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    Credential           |    
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    Telephone            |    970-443-0846
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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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