Pine Grove Counseling Center LLC
Social Worker, Clinical in Denver, CO. Organization (NPI-2).
NPI number1255080628
StatusActive
Last updated in NPPESMar 5, 2026
Details
- NPI
- 1255080628
- Entity type
- Organization (NPI-2)
- Legal business name
- Pine Grove Counseling Center LLC
- Organization subpart
- No
- Enumeration date
- Mar 22, 2022
- Certification date
- Mar 5, 2026
- Last updated
- Mar 5, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
1500 N Grant St Ste NDenver, CO 80203-1859
Phone 443-834-6960
Mailing address
1500 N Grant St Ste NDenver, CO 80203-1859
Authorized official
Lydia Shannon
Owner
4438346960
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