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General NPI Number Information
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NPI Number | 1992506422
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Entity Type | Organization
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Legal Business Name | EMBERWOOD MENTAL WELLNESS LLC
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Dates
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Enumeration Date | 03/21/2025
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 274 UNION BLVD STE 430
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City | LAKEWOOD
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State | CO
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Zip | 80228-2007
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Country | US
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Telephone | 720-204-2903
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Fax |
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Provider Business Mailing Address
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Address Line | 274 UNION BLVD STE 430
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City | LAKEWOOD
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State | CO
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Zip | 80228-2007
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Country | US
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Telephone | 720-204-2903
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BRITTNEE ROGERS
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Credential | APRN, PMHNP-BC
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Telephone | 720-204-2903
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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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