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Organization

BODY REVERENCE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMIE HUNT LPC, RDN, CPT (OWNER/MEMBER)
(307) 710-6790
Entity
Organization

Contact information

Practice address
2724 N OVERLAND TRAIL, BOX 130, LAPORTE, CO 80535-5001
(307) 710-6790
Mailing address
2724 N OVERLAND TRAIL, BOX 130, LAPORTE, CO 80535-5001

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
05/07/2026
Last updated
05/07/2026
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