Provider Demographics
NPI:1386235216
Name:LAWFUL, BENJAMIN (MA, LPC)
Entity type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:
Last Name:LAWFUL
Suffix:
Gender:M
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1457 GARFIELD ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-2704
Mailing Address - Country:US
Mailing Address - Phone:303-956-7042
Mailing Address - Fax:
Practice Address - Street 1:3798 MARSHALL ST STE 7
Practice Address - Street 2:
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-6458
Practice Address - Country:US
Practice Address - Phone:720-647-6700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-02
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0019310101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health