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General NPI Number Information
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NPI Number | 1962396572
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Entity Type | Organization
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Legal Business Name | CENTER FOR HEALING TRAUMA AND ATTACHMENT, INC.
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Dates
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Enumeration Date | 06/06/2025
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 305 W 2ND ST
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City | WRAY
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State | CO
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Zip | 80758-1009
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Country | US
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Telephone | 970-397-4609
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Fax |
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Provider Business Mailing Address
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Address Line | 206 CLAYTON ST
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City | BRUSH
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State | CO
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Zip | 80723-2104
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Country | US
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Telephone | 970-397-4609
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DOREEN GRACE HILLS
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Credential |
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Telephone | 970-397-4609
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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