Provider Demographics
NPI:1831874619
Name:LEBEAU, ERIN
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:LEBEAU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1421 N PENNSYLVANIA ST APT 35
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-4716
Mailing Address - Country:US
Mailing Address - Phone:585-643-0685
Mailing Address - Fax:
Practice Address - Street 1:1421 N PENNSYLVANIA ST APT 35
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-4716
Practice Address - Country:US
Practice Address - Phone:585-643-0685
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-19
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool