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General NPI Number Information
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NPI Number | 1902465446
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Entity Type | Organization
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Legal Business Name | CHERRY CREEK COLLECTIVE FOR MENTAL HEALTH LLC
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Dates
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Enumeration Date | 06/09/2019
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Last Update Date | 06/09/2019
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Provider Practice Location Address
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Address Line | 1660 S ALBION ST STE 1025
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City | DENVER
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State | CO
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Zip | 80222-4047
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Country | US
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Telephone | 720-985-3549
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Fax | 720-605-0128
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Provider Business Mailing Address
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Address Line | 1660 S ALBION ST STE 1025
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City | DENVER
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State | CO
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Zip | 80222-4047
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CO-FOUNDER, CO-OWNER
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Name | RACHAEL PRICE
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Credential | LPC, NCC
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Telephone | 720-985-3549
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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 |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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