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General NPI Number Information
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NPI Number | 1801760541
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Entity Type | Organization
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Legal Business Name | ROAD TO ME RECOVERY SERVICES
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Dates
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Enumeration Date | 10/04/2025
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Last Update Date | 10/04/2025
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Provider Practice Location Address
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Address Line | 10050 RALSTON RD STE 1BE
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City | ARVADA
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State | CO
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Zip | 80004-4974
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Country | US
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Telephone | 720-401-2340
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Fax |
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Provider Business Mailing Address
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Address Line | 11857 KEOUGH DR
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City | NORTHGLENN
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State | CO
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Zip | 80233-1221
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Country | US
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Telephone | 720-401-2340
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | KATIE BRYDON
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Credential | LCSW, LAC
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Telephone | 720-401-2340
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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