MEDICARE: THERAPY BY LIAM HUNTLEY

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
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1851005136
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THERAPY BY LIAM HUNTLEY

Provider Business Mailing Address
First Line	:	5350 N ACADEMY BLVD
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-4098
Country	:	US
Telephone Number	:	719-401-7947
Fax Number	:

Provider Business Practice Location Address
First Line	:	5350 N ACADEMY BLVD
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-4098
Country	:	US
Telephone Number	:	719-401-7947
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	WILLIAM HUNTLEY
Credential	:
Telephone Number	:	719-401-7947

Provider Enumeration Date	:	01/10/2023
Last Update Date	:	08/10/2023

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Directions to “THERAPY BY LIAM HUNTLEY ” Practice Location

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