| Lauren Woosley Llc | |
|
1189 S Perry Street Suite 110f Castle Rock CO 80104 | |
| (303) 416-8458 | |
| Not Available |
| Full Name | Lauren Woosley Llc |
|---|---|
| Speciality | Counselor |
| Location | 1189 S Perry Street, Castle Rock, Colorado |
| Authorized Official Name and Position | Lauren Woosley (OWNER) |
| Authorized Official Contact | 3034168458 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lauren Woosley Llc 4833 Front Street Unit B #212 Castle Rock CO 80104-7901 Ph: (303) 416-8458 | Lauren Woosley Llc 1189 S Perry Street Suite 110f Castle Rock CO 80104 Ph: (303) 416-8458 |
| NPI Number | 1861942047 |
|---|---|
| Provider Enumeration Date | 10/11/2016 |
| Last Update Date | 02/14/2024 |
| Certification Date | 02/09/2024 |
| Medicare PECOS PAC ID | 8224474796 |
|---|---|
| Medicare Enrollment ID | O20240307001229 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861942047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Lauren Woosley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669892162 PECOS PAC ID: 1951747427 Enrollment ID: I20250110002117 |
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