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General NPI Number Information
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NPI Number | 1578389144
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Entity Type | Organization
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Legal Business Name | SOCIAL CARE SERVICES, LLC
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Dates
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Enumeration Date | 11/28/2024
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Last Update Date | 12/06/2024
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Provider Practice Location Address
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Address Line | 9615 E COUNTY LINE RD STE B-525
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City | CENTENNIAL
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State | CO
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Zip | 80112-3527
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Country | US
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Telephone | 904-294-5329
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Fax | 172-072-2052
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Provider Business Mailing Address
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Address Line | 9615 E COUNTY LINE RD STE B-525
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City | CENTENNIAL
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State | CO
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Zip | 80112-3527
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Country | US
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Telephone |
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Fax | 172-072-2052
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Authorized Official
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Title or Position | CHIEF OPEATIONS OFFICER
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Name | MRS. HYDEE WARREN
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Credential | LMHC
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Telephone | 904-294-5329
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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 | 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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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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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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