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General NPI Number Information
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NPI Number | 1669281119
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Entity Type | Organization
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Legal Business Name | MENTAL HEALTH TREATMENT SPECIALISTS LLC
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Dates
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Enumeration Date | 12/30/2024
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Last Update Date | 12/30/2024
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Provider Practice Location Address
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Address Line | 9101 PEARL ST STE 320
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City | THORNTON
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State | CO
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Zip | 80229-4354
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Country | US
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Telephone | 330-506-1145
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Fax |
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Provider Business Mailing Address
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Address Line | 12191 W 75TH LN
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City | ARVADA
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State | CO
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Zip | 80005-5309
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Country | US
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Telephone | 330-506-1145
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Fax |
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Authorized Official
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Title or Position | COO
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Name | MICHAEL DAMIOLI
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Credential | LCSW
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Telephone | 330-506-1145
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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