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General NPI Number Information
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NPI Number | 1841951597
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Entity Type | Organization
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Legal Business Name | ARDENT GROVE
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Dates
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Enumeration Date | 01/05/2022
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 300 S JACKSON ST STE 520
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City | DENVER
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State | CO
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Zip | 80209-3133
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Country | US
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Telephone | 303-704-4062
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Fax |
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Provider Business Mailing Address
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Address Line | 300 S JACKSON ST STE 210
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City | DENVER
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State | CO
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Zip | 80209-3134
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Country | US
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Telephone | 303-704-4062
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | EMILY MARKLEY
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Credential | PSYD
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Telephone | 301-807-9121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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