Provider Demographics
NPI:1568147882
Name:ZIRSCHKY, LAURENCE CARL (LPC:0019433)
Entity Type:Individual
Prefix:
First Name:LAURENCE
Middle Name:CARL
Last Name:ZIRSCHKY
Suffix:
Gender:M
Credentials:LPC:0019433
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 W DAVIES AVE N
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-5211
Mailing Address - Country:US
Mailing Address - Phone:303-730-1717
Mailing Address - Fax:
Practice Address - Street 1:141 W DAVIES AVE N
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-5211
Practice Address - Country:US
Practice Address - Phone:303-730-1717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-15
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0019433101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health