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General NPI Number Information
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NPI Number | 1659098861
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Entity Type | Organization
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Legal Business Name | BE FREE PSYCHOTHERAPY, PLLC
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Dates
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Enumeration Date | 10/27/2022
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Last Update Date | 10/27/2022
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Provider Practice Location Address
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Address Line | 1121 S ALTON ST UNIT A
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City | DENVER
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State | CO
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Zip | 80247-7376
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Country | US
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Telephone | 720-281-3219
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Fax |
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Provider Business Mailing Address
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Address Line | 1121 S ALTON ST UNIT A
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City | DENVER
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State | CO
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Zip | 80247-7376
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Country | US
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Telephone | 720-281-3219
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Fax |
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Authorized Official
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Title or Position | OWNER, CLINICAL MENTAL HEALTH COUNS
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Name | ALYSSA WEIDMAN
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Credential | MA, LPC, NCC
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Telephone | 720-281-3219
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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