MEDICARE: LAUREN ANNE LEVINE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator
2	101YM0800X	Mental Health Counselor	0024148	CO

General Provider Information

NPI Number	:	1992571160
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN ANNE LEVINE

Provider Business Mailing Address
First Line	:	275 S MAIN ST STE 201
Second Line	:
City	:	LONGMONT
State	:	CO
Zip	:	80501-6461
Country	:	US
Telephone Number	:	720-707-1806
Fax Number	:

Provider Business Practice Location Address
First Line	:	275 S MAIN ST STE 201
Second Line	:
City	:	LONGMONT
State	:	CO
Zip	:	80501-6461
Country	:	US
Telephone Number	:	720-707-1806
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/29/2023
Last Update Date	:	03/12/2026

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Directions to “ LAUREN ANNE LEVINE ” Practice Location

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