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General NPI Number Information
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NPI Number | 1700029683
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Entity Type | Organization
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Legal Business Name | DENVER ART THERAPY COUNSELING CO, LLC
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Dates
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Enumeration Date | 04/08/2009
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Last Update Date | 10/03/2012
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Provider Practice Location Address
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Address Line | 1571 RACE ST
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City | DENVER
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State | CO
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Zip | 80206-1307
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Country | US
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Telephone | 303-681-7913
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Fax |
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Provider Business Mailing Address
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Address Line | 1571 RACE ST
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City | DENVER
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State | CO
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Zip | 80206-1307
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Country | US
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Telephone | 303-681-7913
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Fax | 866-301-3024
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Authorized Official
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Title or Position | CEO, LEAD THERAPIST
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Name | MRS. ERIN MARIE BRUMLEVE
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Credential | MA, LPC, ATR
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Telephone | 303-681-7913
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 5056
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License Number State | CO
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