Defy Gravity

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

DEFY GRAVITY

Doing business as

Colorado Family Guidance

Practice address

215 Maple St
Florence, CO 81226-1443

Phone

(719) 371-3203

NPI assigned

Aug 10, 2020

Last updated

Aug 13, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kimberly Philia, LPCNPI 1447639984

Title

Owner

Phone

(719) 371-3203

Specialties & licenses 1

Addresses

Other names 1

• Colorado Family Guidance Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberly Diane Philia, LPC

  • Mental Health Counselor
  • Florence, CO
  • NPI 1447639984
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597276800000",
    "number": "1659982197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 MAPLE ST",
            "city": "FLORENCE",
            "state": "CO",
            "postal_code": "812261443",
            "telephone_number": "719-371-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 MAPLE ST",
            "city": "FLORENCE",
            "state": "CO",
            "postal_code": "812261443",
            "telephone_number": "719-371-3203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEFY GRAVITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-10",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A",
        "authorized_official_last_name": "PHILIA",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-371-3203",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colorado Family Guidance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Federal Bureau of Prisons
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• Mental Health Clinic/Center (Including Community Mental Health Center) in Florence, CO
• Providers in Florence, CO by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.