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General NPI Number Information
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NPI Number | 1568908374
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Entity Type | Organization
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Legal Business Name | HEALING THROUGH PLAY: COUNSELING SERVICES FOR CHILDREN
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Dates
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Enumeration Date | 01/18/2017
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Last Update Date | 01/18/2017
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Provider Practice Location Address
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Address Line | 5808 S RAPP ST STE. 100
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City | LITTLETON
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State | CO
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Zip | 80120-1900
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Country | US
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Telephone | 720-505-3840
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Fax |
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Provider Business Mailing Address
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Address Line | 5808 S RAPP ST STE. 100
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City | LITTLETON
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State | CO
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Zip | 80120-1900
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Country | US
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Telephone | 720-505-3840
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Fax |
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Authorized Official
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Title or Position | OWNER/SOCIAL WORKER
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Name | ANDREA FORLINA
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Credential | LCSW
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Telephone | 720-505-3840
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 12
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License Number State | CO
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