Provider Demographics
NPI:1376134627
Name:KNIGHT, LAURA 'LAURIE' VH (BA PSYCHOTHERAPIST)
Entity Type:Individual
Prefix:
First Name:LAURA 'LAURIE'
Middle Name:VH
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:BA PSYCHOTHERAPIST
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:ELIZABETH
Other - Last Name:VON HARTEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA PSYCHOTHERAPIST
Mailing Address - Street 1:2095 W 6TH AVE STE 2122221
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80020-1870
Mailing Address - Country:US
Mailing Address - Phone:720-728-9072
Mailing Address - Fax:
Practice Address - Street 1:2095 W 6TH AVE STE 2122221
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80020-1870
Practice Address - Country:US
Practice Address - Phone:720-728-9072
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-29
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CONLC8117101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health