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Organization

ARDENT GROVE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EMILY MARKLEY PSYD (EXECUTIVE DIRECTOR)
(301) 807-9121
Entity
Organization

Contact information

Practice address
300 S JACKSON ST STE 520, DENVER, CO 80209-3133
(303) 704-4062
Mailing address
300 S JACKSON ST STE 210, DENVER, CO 80209-3134
(303) 704-4062

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103T00000X
Psychologist
103TC0700X
Clinical Psychologist
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9000201966
CO
Enumeration date
01/05/2022
Last updated
12/05/2024
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