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General NPI Number Information
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NPI Number | 1982525176
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Entity Type | Organization
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Legal Business Name | DESIRED CHANGE LLC
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Dates
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Enumeration Date | 07/23/2026
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Last Update Date | 07/23/2026
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Provider Practice Location Address
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Address Line | 8008 E ARAPAHOE CT # 103
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City | CENTENNIAL
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State | CO
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Zip | 80112-6839
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Country | US
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Telephone | 720-689-3512
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Fax |
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Provider Business Mailing Address
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Address Line | 582 NILE ST # A
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City | AURORA
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State | CO
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Zip | 80010-4732
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Country | US
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Telephone | 720-689-3512
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Fax |
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Authorized Official
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Title or Position | OWNER/ CEO
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Name | DR. ALEXIS TOUSSAINT
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Credential | DSW, LCSW
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Telephone | 720-689-3512
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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