Ardent Grove

LBN: Ardent Grove
Ardent Grove is an health care organization with primary practice located at 300 S Jackson St Ste 520 , Denver CO 80209-3133. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Ardent Grove can be contacted via phone (303) 704-4062, or through Jacklin, Erin via phone (720) 272-1533.

Contact Information

Primary practice address
300 S Jackson St Ste 520 Denver CO 80209-3133
Phone: (303) 704-4062
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jacklin, Erin PSY.D.
Phone: (720) 272-1533

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1841951597
LBN Legal business name Ardent Grove
DBA Doing business as
Authorized official Jacklin, Erin PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 5th, 2022
Last updated Nov 7th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841951597 NPPES
Colorado MEDICAID 9000201966

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