# C. BLAIR SKINNER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Early Childhood Wellness Place
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912494485
- **Authorized official:** MS. C. BLAIR SKINNER LMFT (OWNER/DIRECTOR)
- **Authorized official phone:** (720) 980-4034

## Contact information

- **Practice address:** 520 ZANG ST STE 212, BROOMFIELD, CO 80021-8224
- **Practice address phone:** (303) 460-3881
- **Practice address fax:** (303) 460-7850
- **Mailing address:** 520 ZANG ST STE 212, BROOMFIELD, CO 80021-8224
- **Mailing address phone:** (303) 460-3881
- **Mailing address fax:** (303) 460-7850

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | LMFT655 | CO | Yes |
| 225X00000X | Occupational Therapist | — | CO | — |
| 235Z00000X | Speech-Language Pathologist | — | CO | — |

## Other

- **Enumeration date:** 04/19/2018
- **Last updated:** 04/19/2018