Healthcare Provider Details

I. General information

NPI: 1568294015
Provider Name (Legal Business Name): LAURA ALDRIDGE MA, MFTC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2024
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8120 S HOLLY ST
CENTENNIAL CO
80122-4005
US

IV. Provider business mailing address

8120 S HOLLY ST
CENTENNIAL CO
80122-4005
US

V. Phone/Fax

Practice location:
  • Phone: 720-588-2319
  • Fax:
Mailing address:
  • Phone: 720-588-2319
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMFTC.0014867
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFTC.0014867
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: