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General NPI Number Information
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NPI Number | 1801772314
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Entity Type | Organization
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Legal Business Name | HOLISTIC LAND, LLC
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Dates
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Enumeration Date | 08/12/2025
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 62430 US HIGHWAY 285
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City | BAILEY
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State | CO
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Zip | 80421
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Country | US
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Telephone | 217-417-5963
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Fax |
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Provider Business Mailing Address
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Address Line | 7231 TIMBER TRAIL RD
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City | EVERGREEN
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State | CO
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Zip | 80439-6696
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Country | US
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Telephone | 217-417-5963
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Fax |
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Authorized Official
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Title or Position | CO FOUNDER
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Name | STEPHANIE LEOPOLD
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Credential | APN
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Telephone | 217-417-5963
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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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Taxonomy #2
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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 #3
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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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 | 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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