Provider Demographics
NPI:1851056444
Name:LAURA MARIOTTI LTD
Entity Type:Organization
Organization Name:LAURA MARIOTTI LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARIOTTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-541-1885
Mailing Address - Street 1:2537 LYNNHAVEN LN
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80524-2670
Mailing Address - Country:US
Mailing Address - Phone:970-541-1885
Mailing Address - Fax:
Practice Address - Street 1:2537 LYNNHAVEN LN
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80524-2670
Practice Address - Country:US
Practice Address - Phone:970-541-1885
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-08
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty