Healthcare Provider Details

I. General information

NPI: 1770218281
Provider Name (Legal Business Name): BEAUX LAUREN WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2022
Last Update Date: 09/28/2023
Certification Date: 09/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6530 S YOSEMITE ST STE 210
GREENWOOD VILLAGE CO
80111-5128
US

IV. Provider business mailing address

6530 S YOSEMITE ST STE 210
GREENWOOD VILLAGE CO
80111-5128
US

V. Phone/Fax

Practice location:
  • Phone: 720-778-4077
  • Fax:
Mailing address:
  • Phone: 720-778-4077
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW.09928421
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: