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Organization

EMERGE THERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DEVAN PAUL LIVAUDAIS LPC, NCC (OWNER)
(607) 346-1983
Entity
Organization

Contact information

Practice address
2850 MCCLELLAND DR STE 3200, FORT COLLINS, CO 80525-2572
(607) 346-1983
Mailing address
2519 S SHIELDS ST, SUITE 1K PMB 1065, FORT COLLINS, CO 80526-1855

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
02/06/2024
Last updated
03/03/2026
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