Provider Demographics
NPI:1639966948
Name:ADDINGTON MENTAL HEALTH GROUP, LLC
Entity type:Organization
Organization Name:ADDINGTON MENTAL HEALTH GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CELENE
Authorized Official - Middle Name:
Authorized Official - Last Name:BRIDGFORD ADDINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:303-931-6415
Mailing Address - Street 1:985 AGUA FRIA ST UNIT 115
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87501-2446
Mailing Address - Country:US
Mailing Address - Phone:303-931-6415
Mailing Address - Fax:
Practice Address - Street 1:985 AGUA FRIA ST UNIT 115
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87501-2446
Practice Address - Country:US
Practice Address - Phone:303-931-6415
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-21
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty