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General NPI Number Information
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NPI Number | 1790525095
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Entity Type | Organization
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Legal Business Name | HEARTFUL HEAD COUNSELING LLC
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Dates
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Enumeration Date | 05/27/2024
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 2629 REDWING RD STE 270
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City | FORT COLLINS
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State | CO
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Zip | 80526-2879
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Country | US
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Telephone | 970-462-9020
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 22
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City | FORT COLLINS
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State | CO
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Zip | 80522-0022
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Country | US
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Telephone | 970-462-9020
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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. JENNIFER LYNN HEAD
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Credential | LCSW, LAC
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Telephone | 970-462-9020
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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 |
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License Number State |
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