Provider Demographics
NPI:1144759101
Name:TULOU, AIMEE SUZANNE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:AIMEE
Middle Name:SUZANNE
Last Name:TULOU
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:AIMEE
Other - Middle Name:SUZANNE
Other - Last Name:HULL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:1020 LILAC ST
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80020-1041
Mailing Address - Country:US
Mailing Address - Phone:720-319-9303
Mailing Address - Fax:
Practice Address - Street 1:1020 LILAC ST
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80020-1041
Practice Address - Country:US
Practice Address - Phone:720-319-9303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO20701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical