Provider Demographics
NPI:1477215747
Name:LURZ, AMBER DAWN (MA)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:DAWN
Last Name:LURZ
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:809 S HANCOCK AVE
Mailing Address - Street 2:UNIT B
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80903
Mailing Address - Country:US
Mailing Address - Phone:719-258-7446
Mailing Address - Fax:
Practice Address - Street 1:809 S HANCOCK AVE
Practice Address - Street 2:UNIT B
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903
Practice Address - Country:US
Practice Address - Phone:719-258-7446
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-13
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
COLPCC.0018992OtherDEPARTMENT OF REGULATORY AGENCIES, CO