Provider Demographics
NPI:1467755108
Name:SANDS, LAURIE MAXINE (LCSW)
Entity Type:Individual
Prefix:
First Name:LAURIE
Middle Name:MAXINE
Last Name:SANDS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6222 YALE DR
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80130-3712
Mailing Address - Country:US
Mailing Address - Phone:720-838-6691
Mailing Address - Fax:
Practice Address - Street 1:9870 S. COLORADO BLVD
Practice Address - Street 2:SUITE A-10
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80130
Practice Address - Country:US
Practice Address - Phone:303-471-9355
Practice Address - Fax:720-306-8987
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-20
Last Update Date:2010-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO17271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical