Provider Demographics
NPI:1346966744
Name:SARAH MARIE LHEUREUX LLC
Entity Type:Organization
Organization Name:SARAH MARIE LHEUREUX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:LHEUREUX
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-CO, LCPC-IL, ATR
Authorized Official - Phone:872-256-2411
Mailing Address - Street 1:9629 W COLFAX AVE STE 307
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80215-3939
Mailing Address - Country:US
Mailing Address - Phone:872-256-2411
Mailing Address - Fax:720-764-9319
Practice Address - Street 1:9629 W COLFAX AVE STE 307
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80215-3939
Practice Address - Country:US
Practice Address - Phone:872-256-2411
Practice Address - Fax:720-764-9319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-17
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL180013473OtherILLINOIS DEPARTMENT OF REGULATORY SERVICES
COLPC.0017028OtherDORA