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General NPI Number Information
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NPI Number | 1982160776
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Entity Type | Organization
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Legal Business Name | WHOLE CHILD COLORADO, LLC
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Dates
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Enumeration Date | 02/16/2019
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 6200 S SYRACUSE WAY STE 260
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-4739
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Country | US
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Telephone | 303-569-8109
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3643
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City | ENGLEWOOD
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State | CO
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Zip | 80155-3643
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Country | US
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Telephone | 303-569-8109
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | MS. JAMIE L DOAK
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Credential | LPC, NCC
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Telephone | 303-569-8109
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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