Provider Demographics
NPI:1104955673
Name:LUEHRS, COLLEEN (HEATHER) MARIE (LCSW)
Entity type:Individual
Prefix:MS
First Name:COLLEEN (HEATHER)
Middle Name:MARIE
Last Name:LUEHRS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 300008
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-0008
Mailing Address - Country:US
Mailing Address - Phone:303-832-4620
Mailing Address - Fax:303-832-1681
Practice Address - Street 1:1420 OGDEN ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-2892
Practice Address - Country:US
Practice Address - Phone:303-832-4620
Practice Address - Fax:303-832-1681
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO992302101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health