Provider Demographics
NPI:1215962741
Name:LEVENTHAL, LYNN M (LCSW)
Entity type:Individual
Prefix:
First Name:LYNN
Middle Name:M
Last Name:LEVENTHAL
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 1:7369 UPHAM CIR
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80003-3029
Mailing Address - Country:US
Mailing Address - Phone:303-430-7921
Mailing Address - Fax:303-422-9505
Practice Address - Street 1:5005 W 81ST PL UNIT 303
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031-4393
Practice Address - Country:US
Practice Address - Phone:303-430-7021
Practice Address - Fax:303-422-9505
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO989941101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health