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Organization
NEUROGROVE PC
Active
Organization
NEUROGROVE PC
Active
Parent organization
NEUROGROVE PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEUROGROVE PC
Authorized official
TRISTAM MILES MA LPC BCN (CO-OWNER)
(954) 655-2738
Entity
Organization
Contact information
Practice address
5511 W 56TH AVE UNIT 100, ARVADA, CO 80002-2807
(303) 828-7473
Mailing address
5511 W 56TH AVE UNIT 100, ARVADA, CO 80002-2807
(303) 828-7473
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/09/2025
Last updated
12/09/2025
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