Provider Demographics
NPI:1275677734
Name:BURNEY, LAURIE BLAKE (MSW)
Entity Type:Individual
Prefix:MRS
First Name:LAURIE
Middle Name:BLAKE
Last Name:BURNEY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9954 MELBOURNE CIR
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80130-8882
Mailing Address - Country:US
Mailing Address - Phone:720-810-0654
Mailing Address - Fax:
Practice Address - Street 1:363 S HARLAN ST
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226-3571
Practice Address - Country:US
Practice Address - Phone:303-217-5846
Practice Address - Fax:303-217-5868
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker