Organization

Divergence Mental Health Group Llc

Mental Health Counselor in Highlands Ranch, CO(View on Map)

Legal Business Name

Divergence Mental Health Group Llc

NPI Number

1043929243

NPI Type

Organization

Enumeration Date

11/16/2022

Specialties

(Taxonomies)

Code

101YM0800X
261Q00000X
251S00000X

Primary Taxonomy

Yes
No
No

Contact
Information

Purpose

Mailing
Location

Address

4420 LYNDENWOOD CIR
4420 LYNDENWOOD CIR

City

Highlands Ranch
Highlands Ranch

State

CO
CO

Postal Code

80130-8807
80130-8807

Country

US
US

Telephone Number

(847) 894-7288
(720) 310-8786

Authorized Official

Name

Ashley Edwardson

Title or Position

OWNER

Telephone Number

(847) 894-7288

Identifiers

Identifier

90000201368

Identifier State

CO

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/25/2024

Provider Address

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