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General NPI Number Information
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NPI Number | 1639089972
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Entity Type | Organization
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Legal Business Name | STILL WATERS WELLNESS AND HEALING
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Dates
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Enumeration Date | 09/09/2026
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Last Update Date | 09/09/2026
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Provider Practice Location Address
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Address Line | 5373 N UNION BLVD STE 200
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-2053
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Country | US
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Telephone | 719-232-4014
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Fax |
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Provider Business Mailing Address
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Address Line | 450 OXBOW DR
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City | MONUMENT
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State | CO
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Zip | 80132-6026
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Country | US
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Telephone | 719-232-4014
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ANDREA SPENCER
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Credential | MS, LPC, ACS, MFTC
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Telephone | 719-232-4014
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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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