Provider Demographics
NPI:1285160580
Name:LAURA WINN LLC
Entity type:Organization
Organization Name:LAURA WINN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:BROWNING
Authorized Official - Last Name:WINN
Authorized Official - Suffix:
Authorized Official - Credentials:MA LPP
Authorized Official - Phone:404-348-6196
Mailing Address - Street 1:2727 BRYANT ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-4130
Mailing Address - Country:US
Mailing Address - Phone:404-348-6196
Mailing Address - Fax:
Practice Address - Street 1:2727 BRYANT ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-4130
Practice Address - Country:US
Practice Address - Phone:404-348-6196
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-04
Last Update Date:2017-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO101YP2500X251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health