Jade Recovery

LBN: Jade Recovery
Jade Recovery is an health care organization with primary practice located at 255 S Routt St Ste 265 , Lakewood CO 80228-2271. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Jade Recovery can be contacted via phone (833) 523-3669, or through Gallegos, Jill Marie via phone (833) 523-3669.

Contact Information

Primary practice address
255 S Routt St Ste 265 Lakewood CO 80228-2271
Fax:
Website:
Authorized official contact:
Name: Gallegos, Jill Marie MFTC, LPCC

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1396374906
LBN Legal business name Jade Recovery
DBA Doing business as
Authorized official Gallegos, Jill Marie MFTC, LPCC
Entity Organization
Organization subpart 1 No
Enumeration date Apr 6th, 2020
Last updated Apr 6th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396374906 NPPES
Colorado MEDICAID 1053957407

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