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General NPI Number Information
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NPI Number | 1891460291
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Entity Type | Organization
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Legal Business Name | BELLBIRD WELLNESS LLC
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Dates
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Enumeration Date | 08/09/2021
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Last Update Date | 12/02/2024
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Provider Practice Location Address
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Address Line | 2020 N ACADEMY BLVD STE 261 #967
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-1567
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Country | US
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Telephone | 719-232-5591
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Fax |
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Provider Business Mailing Address
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Address Line | 2020 N ACADEMY BLVD STE 261 #967
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-1567
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Country | US
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Telephone | 719-232-5591
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Fax |
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Authorized Official
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Title or Position | PSYCHIATRIC NURSE PRACTITIONER
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Name | HOLLY WERSTEIN
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Credential | PMHNP-BC
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Telephone | 719-232-5591
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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