Healthcare Provider Details

I. General information

NPI: 1013799592
Provider Name (Legal Business Name): LIZ MAHER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2023
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6897 PAIUTE AVE STE 1
NIWOT CO
80503-7169
US

IV. Provider business mailing address

7771 NIKAU DR
NIWOT CO
80503-8671
US

V. Phone/Fax

Practice location:
  • Phone: 415-513-9016
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH ANN MAHER
Title or Position: OWNER
Credential:
Phone: 415-513-9016