Provider Demographics
NPI:1841424264
Name:HALL, LAURA PAGE (LPC)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:PAGE
Last Name:HALL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:PAGE
Other - Last Name:TULLEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:2925 PROFESSIONAL PL STE 101
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80904-8125
Mailing Address - Country:US
Mailing Address - Phone:719-776-6850
Mailing Address - Fax:719-776-6855
Practice Address - Street 1:2925 PROFESSIONAL PL STE 101
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80904-8125
Practice Address - Country:US
Practice Address - Phone:719-776-6850
Practice Address - Fax:719-776-6855
Is Sole Proprietor?:No
Enumeration Date:2009-05-13
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0006128101YA0400X, 101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health