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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