Healthcare Provider Details

I. General information

NPI: 1497550396
Provider Name (Legal Business Name): LAURA WOMACK LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/14/2025
Last Update Date: 02/14/2025
Certification Date: 02/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20266 FLINT LN
MORRISON CO
80465-2432
US

IV. Provider business mailing address

20266 FLINT LN
MORRISON CO
80465-2432
US

V. Phone/Fax

Practice location:
  • Phone: 303-898-0825
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.0021835
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: