Healthcare Provider Details

I. General information

NPI: 1972223717
Provider Name (Legal Business Name): THE B&B GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2022
Last Update Date: 05/25/2023
Certification Date: 05/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2696 S COLORADO BLVD STE 390
DENVER CO
80222-5944
US

IV. Provider business mailing address

2696 S COLORADO BLVD STE 390
DENVER CO
80222-5944
US

V. Phone/Fax

Practice location:
  • Phone: 720-507-4696
  • Fax:
Mailing address:
  • Phone: 720-507-4696
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: MONICA MCINTYRE
Title or Position: CLINICAL DIRECTOR
Credential: LPC
Phone: 720-507-4696