Provider Demographics
NPI:1205513892
Name:ARDENT BEHAVIORAL HEALTH LLC
Entity type:Organization
Organization Name:ARDENT BEHAVIORAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HEWITT
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:240-261-7184
Mailing Address - Street 1:18310 MONTGOMERY VILLAGE
Mailing Address - Street 2:AVE STE 300 # 1016
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20879-3552
Mailing Address - Country:US
Mailing Address - Phone:240-261-7184
Mailing Address - Fax:240-261-7194
Practice Address - Street 1:18310 MONTGOMERY VILLAGE
Practice Address - Street 2:AVE STE 300 # 1016
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20879-3552
Practice Address - Country:US
Practice Address - Phone:240-261-7184
Practice Address - Fax:240-261-7194
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-05
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty