Provider Demographics
NPI:1851086227
Name:MAHONY, LAURA C (LPCC)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:C
Last Name:MAHONY
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8631 E 54TH DR
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80238-3856
Mailing Address - Country:US
Mailing Address - Phone:303-807-0897
Mailing Address - Fax:
Practice Address - Street 1:2050 S ONEIDA ST STE 120
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224-2428
Practice Address - Country:US
Practice Address - Phone:720-336-0443
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-10
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0019031101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health