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General NPI Number Information
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NPI Number | 1851285472
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Entity Type | Organization
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Legal Business Name | HOLISTIC MENTAL WELLNESS, LLC
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Dates
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Enumeration Date | 06/06/2025
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 55 COYOTE RIDGE ROAD 2191
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City | CRESTED BUTTE
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State | CO
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Zip | 81224
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Country | US
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Telephone | 970-251-0610
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2191
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City | CRESTED BUTTE
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State | CO
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Zip | 81224
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Country | US
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Telephone | 970-251-0610
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Fax | 970-650-8020
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Authorized Official
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Title or Position | PSYCHIATRIC NURSE PRACTITIONER
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Name | JULIE BREMER
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Credential | PMHNP-BC
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Telephone | 970-251-0610
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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