Provider Demographics
NPI:1154084689
Name:LG BEHAVIORAL HEALTH OF COLORADO LLC
Entity Type:Organization
Organization Name:LG BEHAVIORAL HEALTH OF COLORADO LLC
Other - Org Name:BESTMIND BEHAVIORAL HEALTH CO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LANIGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-506-2513
Mailing Address - Street 1:6950 E BELLEVIEW AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-1629
Mailing Address - Country:US
Mailing Address - Phone:303-468-8018
Mailing Address - Fax:720-881-9063
Practice Address - Street 1:6950 E BELLEVIEW AVE STE 300
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-1629
Practice Address - Country:US
Practice Address - Phone:303-468-8018
Practice Address - Fax:720-881-9063
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-21
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty