Healthcare Provider Details

I. General information

NPI: 1083285084
Provider Name (Legal Business Name): LUX COUNSELING AND CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2021
Last Update Date: 07/09/2021
Certification Date: 07/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5911 MIDDLEFIELD RD STE 102
LITTLETON CO
80123-2893
US

IV. Provider business mailing address

5052 NE COUNTY LINE RD
ERIE CO
80516-9317
US

V. Phone/Fax

Practice location:
  • Phone: 720-961-3733
  • Fax:
Mailing address:
  • Phone: 720-961-3733
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. JULIA ANNE SADUSKY
Title or Position: CLINICAL PSYCHOLOGIST
Credential: PSYD
Phone: 720-961-3733