Provider Demographics
NPI:1700217809
Name:GROVES, AMBER (MA)
Entity Type:Individual
Prefix:MS
First Name:AMBER
Middle Name:
Last Name:GROVES
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:
Other - Last Name:BOJE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8801 LIPAN ST
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80260-4912
Mailing Address - Country:US
Mailing Address - Phone:303-412-3834
Mailing Address - Fax:303-412-3357
Practice Address - Street 1:8801 LIPAN ST
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80260-4912
Practice Address - Country:US
Practice Address - Phone:303-412-3834
Practice Address - Fax:303-412-3357
Is Sole Proprietor?:No
Enumeration Date:2013-11-28
Last Update Date:2013-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)