Provider Demographics
NPI:1972955714
Name:LEWIS, LAUREN (MA, LPC, LAC)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:LEWIS
Suffix:
Gender:F
Credentials:MA, LPC, LAC
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:
Other - Last Name:EAST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:150 E 29TH ST STE 237
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-2765
Mailing Address - Country:US
Mailing Address - Phone:970-685-3937
Mailing Address - Fax:970-663-5601
Practice Address - Street 1:150 E 29TH ST STE 237
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-2765
Practice Address - Country:US
Practice Address - Phone:970-685-3937
Practice Address - Fax:970-663-5601
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-05
Last Update Date:2019-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACD0000980101YA0400X
COLPC0013916101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)