Provider Demographics
NPI:1437398013
Name:HARRIS, LAUREL ELIZABETH (MA, LPC)
Entity Type:Individual
Prefix:MS
First Name:LAUREL
Middle Name:ELIZABETH
Last Name:HARRIS
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:MS
Other - First Name:LAURIE
Other - Middle Name:
Other - Last Name:HARRIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA, LPC
Mailing Address - Street 1:1746 COLE BLVD
Mailing Address - Street 2:SUITE 225
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-3208
Mailing Address - Country:US
Mailing Address - Phone:720-261-1567
Mailing Address - Fax:303-278-0092
Practice Address - Street 1:1746 COLE BLVD
Practice Address - Street 2:SUITE 225
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-3208
Practice Address - Country:US
Practice Address - Phone:720-261-1567
Practice Address - Fax:303-278-0092
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-05
Last Update Date:2009-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1567101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health