Provider Demographics
NPI:1457754038
Name:LAURA R MEHRINGER MS RXN CNS LLC
Entity Type:Organization
Organization Name:LAURA R MEHRINGER MS RXN CNS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:MEHRINGER
Authorized Official - Suffix:
Authorized Official - Credentials:MS RXN CNS
Authorized Official - Phone:303-584-3264
Mailing Address - Street 1:7010 BROADWAY
Mailing Address - Street 2:STE 210
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80221-2921
Mailing Address - Country:US
Mailing Address - Phone:303-584-3264
Mailing Address - Fax:303-650-5970
Practice Address - Street 1:7010 BROADWAY
Practice Address - Street 2:STE 210
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80221-2921
Practice Address - Country:US
Practice Address - Phone:303-584-3264
Practice Address - Fax:303-650-5970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-26
Last Update Date:2014-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO59725261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health