Provider Demographics
NPI:1083040968
Name:CARR, LAUREN (BS)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:CARR
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 1:3350 S KENTON ST
Mailing Address - Street 2:#3211
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80014-5011
Mailing Address - Country:US
Mailing Address - Phone:480-229-0697
Mailing Address - Fax:
Practice Address - Street 1:3350 S KENTON ST
Practice Address - Street 2:#3211
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80014-5011
Practice Address - Country:US
Practice Address - Phone:480-229-0697
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-23
Last Update Date:2013-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health