Healthcare Provider Details

I. General information

NPI: 1932010931
Provider Name (Legal Business Name): LAURA CABALLERO MEJIA LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9450 HURON ST
THORNTON CO
80260-7931
US

IV. Provider business mailing address

2632 BLAKE ST UNIT 318
DENVER CO
80205-2286
US

V. Phone/Fax

Practice location:
  • Phone: 303-429-3400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number0000789
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number0009927666
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: