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NPI 1821900663

NPI 1821900663 : ALBA MENTAL HEALTH THERAPY : COLORADO SPRINGS, CO

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General NPI Number Information
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    NPI Number           |    1821900663
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALBA MENTAL HEALTH THERAPY 
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Dates
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    Enumeration Date     |    09/17/2026
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    Last Update Date     |    09/17/2026
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Provider Practice Location Address
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    Address Line         |    8187 PHYLLITE DR 
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    City                 |    COLORADO SPRINGS
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    State                |    CO
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    Zip                  |    80938-9621
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    Country              |    US
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    Telephone            |    410-693-7427
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8187 PHYLLITE DR 
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    City                 |    COLORADO SPRINGS
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    State                |    CO
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    Zip                  |    80938-9621
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    Country              |    US
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    Telephone            |    719-347-5773
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    Fax                  |    
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Authorized Official
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    Title or Position    |    LICENSED SOCIAL WORKER
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    Name                 |    MRS. ELVA  RODRIGUEZ 
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    Credential           |    LSW
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    Telephone            |    719-347-5773
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    
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    License Number State |    NULL
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