Organization · Type 2 NPI

Edelen Enterprises, Inc. D/b/a Recovery 360

Marriage & Family Therapist · Greenwood Village, CO

NPI number 1821319112 Active

Practice location

7350 E. Progress Place, Suite 100
Greenwood Village, CO 80111-2130

Specialties and licenses

Taxonomy	Code	License
Addiction (Substance Use Disorder) Counselor	101YA0400X	None listed
Professional Counselor	101YP2500X	None listed
Marriage & Family Therapist Primary	106H00000X	None listed
Community/Behavioral Health Agency	251S00000X	None listed

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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NPI record

NPI: 1821319112
Entity type: Organization (Type 2)
Issued: Jun 21, 2010
Last updated: Feb 3, 2020
Status: Active

Other names

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Edelen Enterprises, Inc. D/b/a Blue Pine Recovery · doing business as

Authorized official

Ms. Ronny M. De Carlo, LMFT, LAC, LPC
President/executive Director
(720) 854-5959

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1821319112

Edelen Enterprises, Inc. D/b/a Recovery 360's National Provider Identifier is 1821319112, issued on Jun 21, 2010. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Greenwood Village, CO. The record was last updated on Feb 3, 2020.