Healthcare Provider Details

I. General information

NPI: 1457754038
Provider Name (Legal Business Name): LAURA R MEHRINGER MS RXN CNS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2014
Last Update Date: 10/01/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7010 BROADWAY STE 210
DENVER CO
80221-2921
US

IV. Provider business mailing address

7010 BROADWAY STE 210
DENVER CO
80221-2921
US

V. Phone/Fax

Practice location:
  • Phone: 303-584-3264
  • Fax: 303-650-5970
Mailing address:
  • Phone: 303-584-3264
  • Fax: 303-650-5970

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number59725
License Number StateCO

VIII. Authorized Official

Name: LAURA MEHRINGER
Title or Position: OWNER
Credential: MS RXN CNS
Phone: 303-584-3264