MEDICARE: MS. COLLEEN (HEATHER) MARIE LUEHRS LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	992302	CO

General Provider Information

NPI Number	:	1104955673
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. COLLEEN (HEATHER) MARIE LUEHRS LCSW

Provider Business Mailing Address
First Line	:	PO BOX 300008
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80203-0008
Country	:	US
Telephone Number	:	303-832-4620
Fax Number	:	303-832-1681

Provider Business Practice Location Address
First Line	:	1420 OGDEN ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80218-2892
Country	:	US
Telephone Number	:	303-832-4620
Fax Number	:	303-832-1681

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/02/2007
Last Update Date	:	07/08/2007

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