Healthcare Provider Details

I. General information

NPI: 1003540527
Provider Name (Legal Business Name): LAUREN MEHRHOFF LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2022
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 28TH ST
BOULDER CO
80303-1002
US

IV. Provider business mailing address

1500 28TH ST
BOULDER CO
80303-1002
US

V. Phone/Fax

Practice location:
  • Phone: 720-810-2355
  • Fax:
Mailing address:
  • Phone: 719-204-4954
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC.0023908
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: