Provider Demographics
NPI:1376132795
Name:LABER, ALLISON MEREDITH (LSW)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:MEREDITH
Last Name:LABER
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3235 LARIMER ST UNIT 236
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80205-4371
Mailing Address - Country:US
Mailing Address - Phone:330-819-9603
Mailing Address - Fax:
Practice Address - Street 1:400 S COLORADO BLVD STE 550
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246-1255
Practice Address - Country:US
Practice Address - Phone:720-262-2644
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-11
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.1904328104100000X
COLSW.0009923278104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker