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Organization
MY THERAPY MATTERS LLC
Active
Organization
MY THERAPY MATTERS LLC
Active
Parent organization
MY THERAPY MATTERS LLC
Other names
My Therapy Matters LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MY THERAPY MATTERS LLC
Authorized official
CLIVE RUSSELL HALLAM (EXECUTIVE DIRECTOR)
(435) 817-0155
Entity
Organization
Contact information
Practice address
1304 N ACADEMY BLVD, COLORADO SPRINGS, CO 80909-3325
(435) 817-0155
Mailing address
1094 S GREENWAY DR, PUEBLO WEST, CO 81007-5092
(435) 817-0155
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
02/11/2021
Last updated
02/11/2021
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