Divergence Mental Health Group Llc | |
4420 Lyndenwood Cir Highlands Ranch CO 80130-8807 | |
(720) 310-8786 | |
Not Available |
Full Name | Divergence Mental Health Group Llc |
---|---|
Speciality | Counselor - Mental Health |
Location | 4420 Lyndenwood Cir, Highlands Ranch, Colorado |
Authorized Official Name and Position | Ashley Lynn Edwardson (OWNER) |
Authorized Official Contact | 8478947288 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Divergence Mental Health Group Llc 4420 Lyndenwood Cir Highlands Ranch CO 80130-8807 Ph: (847) 894-7288 | Divergence Mental Health Group Llc 4420 Lyndenwood Cir Highlands Ranch CO 80130-8807 Ph: (720) 310-8786 |
NPI Number | 1043929243 |
---|---|
Provider Enumeration Date | 11/16/2022 |
Last Update Date | 02/25/2024 |
Certification Date | 02/25/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043929243 | NPI | - | NPPES |
90000201368 | Medicaid | CO |
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