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NPI Code Detail

MEDICARE: SEVEN DIMENSIONS BEHAVIORAL HEALTH, LLC

MEDICARE: SEVEN DIMENSIONS BEHAVIORAL HEALTH, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1245808344
Entity Type Code : Organization
Provider Name (Legal Business Name) : SEVEN DIMENSIONS BEHAVIORAL HEALTH, LLC
Provider Business Mailing Address
First Line : 3616 SODERBURG DR
Second Line :
City : FORT COLLINS
State : CO
Zip : 80526-4914
Country : US
Telephone Number : 970-692-4173
Fax Number :
Provider Business Practice Location Address
First Line : 1035 EL RANCHO RD
Second Line :
City : EVERGREEN
State : CO
Zip : 80439-8238
Country : US
Telephone Number : 720-295-3790
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : REBECCA URBANO POWELL
Credential :
Telephone Number : 720-295-3790
Provider Enumeration Date : 06/15/2021
Last Update Date : 06/15/2021

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Directions to “SEVEN DIMENSIONS BEHAVIORAL HEALTH, LLC ” Practice Location

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