Healthcare Provider Details

I. General information

NPI: 1679413496
Provider Name (Legal Business Name): MADELINE HARGROVE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7921 SOUTHPARK PLZ STE 204
LITTLETON CO
80120-4506
US

IV. Provider business mailing address

7921 SOUTHPARK PLZ STE 204
LITTLETON CO
80120-4506
US

V. Phone/Fax

Practice location:
  • Phone: 303-775-3684
  • Fax: 720-541-6053
Mailing address:
  • Phone: 303-775-3684
  • Fax: 720-541-6053

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0023617
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: