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General NPI Number Information
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NPI Number | 1598156358
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Entity Type | Organization
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Legal Business Name | INSPIRED LIFE COUNSELING AND COACHING,LLC
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Dates
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Enumeration Date | 02/13/2015
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Last Update Date | 03/22/2023
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Provider Practice Location Address
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Address Line | 12760 STROH RANCH WAY STE 105
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City | PARKER
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State | CO
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Zip | 80134-7505
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Country | US
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Telephone | 720-438-5359
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Fax | 720-836-4224
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Provider Business Mailing Address
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Address Line | 5850 THUNDER HILL RD
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City | PARKER
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State | CO
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Zip | 80134-5837
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Country | US
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Telephone | 720-435-5359
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Fax | 720-836-4224
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Authorized Official
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Title or Position | MANAGING MEMBER/OWNER
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Name | MRS. KRISTIN GRANT
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Credential | LCSW
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Telephone | 720-438-5359
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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 | CSW00000785
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License Number State | CO
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