Provider Demographics
NPI:1174073605
Name:GROVES, DANIELLE (BS)
Entity type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:
Last Name:GROVES
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5400 S PARK TERRACE AVE
Mailing Address - Street 2:UNIT 09-206
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-3344
Mailing Address - Country:US
Mailing Address - Phone:541-840-1275
Mailing Address - Fax:
Practice Address - Street 1:5400 S PARK TERRACE AVE
Practice Address - Street 2:UNIT 09-206
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-3344
Practice Address - Country:US
Practice Address - Phone:541-840-1275
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-07
Last Update Date:2016-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health