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General NPI Number Information
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NPI Number | 1578422440
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Entity Type | Organization
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Legal Business Name | COLLEGIATE PEAKS COUNSELING, LLC
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Dates
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Enumeration Date | 01/16/2026
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 28350 COUNTY ROAD 317 UNIT 11
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City | BUENA VISTA
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State | CO
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Zip | 81211-9261
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Country | US
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Telephone | 719-398-1167
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1620
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City | SALIDA
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State | CO
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Zip | 81201-1648
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER, CLINICIAN
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Name | SARA PAPATHAKIS
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Credential | LCSW
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Telephone | 719-398-1167
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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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