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General NPI Number Information
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NPI Number | 1578014411
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Entity Type | Organization
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Legal Business Name | LIBERTY COUNSELING PLLC
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Dates
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Enumeration Date | 10/15/2016
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Last Update Date | 04/23/2021
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Provider Practice Location Address
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Address Line | 5290 DTC PKWY STE 150
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-2764
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Country | US
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Telephone | 720-416-3451
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Fax | 970-233-4565
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Provider Business Mailing Address
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Address Line | PO BOX 1028
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City | OURAY
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State | CO
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Zip | 81427-1028
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Country | US
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Telephone | 720-416-3451
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Fax | 970-233-4565
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Authorized Official
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Title or Position | OWNER
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Name | DR. ISABELLA F GEYER
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Credential | PSYD
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Telephone | 720-416-3451
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | ACD.0000380
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC.0012040
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY.0004573
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License Number State | CO
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