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Organization
METANOIA
Active
Organization
METANOIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA WITMAN LCSW (OWNER)
(719) 377-7669
Entity
Organization
Contact information
Practice address
2438 E FOUNTAIN BLVD, COLORADO SPRINGS, CO 80910-3227
(719) 799-2025
Mailing address
1 KALISA WAY STE 101, PARAMUS, NJ 07652-3508
(888) 948-6789
(877) 345-3501
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.00000942
CO
Other
Enumeration date
04/05/2018
Last updated
03/08/2023
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