Healthcare Provider Details

I. General information

NPI: 1871427476
Provider Name (Legal Business Name): SAMANTHA SLAWSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

50 S STEELE ST STE 930
DENVER CO
80209-2814
US

IV. Provider business mailing address

50 S STEELE ST STE 930
DENVER CO
80209-2814
US

V. Phone/Fax

Practice location:
  • Phone: 720-515-0372
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFTC.0014616
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: