Organization
ANCIENT RIVER WELLNESS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANQWETA ALLEN HAWLEY (OWNER)
(757) 254-8068
Entity
Organization
Contact information
Practice address
8400 E CRESCENT PKWY STE 600, GREENWOOD VILLAGE, CO 80111-2842
(757) 254-8068
Mailing address
8400 E CRESCENT PKWY STE 600, GREENWOOD VILLAGE, CO 80111-2842
(757) 254-8068
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/10/2026
Last updated
04/10/2026
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