Healthcare Provider Details

I. General information

NPI: 1699329649
Provider Name (Legal Business Name): ARAHANT MENTAL WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2019
Last Update Date: 07/29/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7525 W 10TH AVE SUITE 200
LAKEWOOD CO
80214
US

IV. Provider business mailing address

7525 W 10TH AVE SUITE 200
LAKEWOOD CO
80214
US

V. Phone/Fax

Practice location:
  • Phone: 720-209-8537
  • Fax: 303-756-1920
Mailing address:
  • Phone: 720-209-8537
  • Fax: 303-756-1920

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. HY GIA PARK
Title or Position: MANAGING PARTNER
Credential: MD
Phone: 808-286-1607