Healthcare Provider Details
I. General information
NPI: 1497564207
Provider Name (Legal Business Name): ACADIA-SCL HEALTH JV, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/06/2025
Last Update Date: 12/30/2025
Certification Date: 12/30/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11455 HURON STREET
WESTMINSTER CO
80234-3812
US
IV. Provider business mailing address
4020 ASPEN GROVE DR STE 900
FRANKLIN TN
37067-3134
US
V. Phone/Fax
- Phone: 303-285-5401
- Fax: 303-963-9044
- Phone: 615-861-6000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084N0400X |
| Taxonomy | Neurology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BRIAN
P.
FARLEY
Title or Position: VICE PRESIDENT & SECRETARY
Credential:
Phone: 615-861-6000