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Organization
TRANSFORM THE NEST
Active
Organization
TRANSFORM THE NEST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER PHIPPEN LCSW (OWNER)
(970) 239-3553
Entity
Organization
Contact information
Practice address
706 S COLLEGE AVE STE 207, FORT COLLINS, CO 80524-9860
(970) 239-3553
Mailing address
706 S COLLEGE AVE STE 207, FORT COLLINS, CO 80524-9860
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
02/22/2020
Last updated
09/13/2021
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