# ALDER GROVE WELLNESS GROUP, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497171771
- **Authorized official:** HOLLY VAUSE DNP (PSYCHIATRIC NURSE PRACTITIONER)
- **Authorized official phone:** (720) 331-6899

## Contact information

- **Practice address:** 90 MADISON ST, SUITE 400, DENVER, CO 80206-5418
- **Practice address phone:** (720) 331-6899
- **Practice address fax:** (720) 889-9496
- **Mailing address:** 90 MADISON ST, SUITE 400, DENVER, CO 80206-5418
- **Mailing address phone:** (720) 331-6899
- **Mailing address fax:** (720) 889-9496

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 00001020 | CO | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 164461 | CO | Yes |

## Other

- **Enumeration date:** 03/11/2014
- **Last updated:** 03/11/2014