| Divergence Mental Health Group Llc | |
|
4420 Lyndenwood Cir Highlands Ranch CO 80130-8807 | |
| (720) 310-8786 | |
| Not Available |
| Full Name | Divergence Mental Health Group Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4420 Lyndenwood Cir, Highlands Ranch, Colorado |
| Authorized Official Name and Position | Ashley Lynn Edwardson (OWNER) |
| Authorized Official Contact | 8478947288 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divergence Mental Health Group Llc 4420 Lyndenwood Cir Highlands Ranch CO 80130-8807 Ph: (847) 894-7288 | Divergence Mental Health Group Llc 4420 Lyndenwood Cir Highlands Ranch CO 80130-8807 Ph: (720) 310-8786 |
| NPI Number | 1043929243 |
|---|---|
| Provider Enumeration Date | 11/16/2022 |
| Last Update Date | 02/25/2024 |
| Certification Date | 02/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043929243 | NPI | - | NPPES |
| 90000201368 | Medicaid | CO |
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