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Organization

DIVERGENCE MENTAL HEALTH GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ASHLEY LYNN EDWARDSON LPC (OWNER)
(847) 894-7288
Entity
Organization

Contact information

Practice address
640 PLAZA DR STE 340, HIGHLANDS RANCH, CO 80129-2399
(720) 310-8786
Mailing address
4420 LYNDENWOOD CIR, HIGHLANDS RANCH, CO 80130-8807
(847) 894-7288

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
251S00000X
Community/Behavioral Health Agency
261Q00000X
Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
90000201368
CO
Enumeration date
11/16/2022
Last updated
02/18/2026
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