Provider Demographics
NPI:1093267270
Name:THOMPSON, LAUREL (MA LPC)
Entity Type:Individual
Prefix:MRS
First Name:LAUREL
Middle Name:
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:MA LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6900 W GRANT RANCH BLVD UNIT 77
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80123-5166
Mailing Address - Country:US
Mailing Address - Phone:303-638-7482
Mailing Address - Fax:
Practice Address - Street 1:6900 W GRANT RANCH BLVD UNIT 77
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80123-5166
Practice Address - Country:US
Practice Address - Phone:303-638-7482
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-03
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0012701101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional