Provider Demographics
NPI:1912062787
Name:LIBBY-LAUWEREINS, JUDITH (MS, LMFT)
Entity type:Individual
Prefix:MS
First Name:JUDITH
Middle Name:
Last Name:LIBBY-LAUWEREINS
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:MS
Other - First Name:JUDITH
Other - Middle Name:
Other - Last Name:WINKLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, LMFT
Mailing Address - Street 1:3816 W 103RD. AVE
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80020
Mailing Address - Country:US
Mailing Address - Phone:303-465-9465
Mailing Address - Fax:303-438-0768
Practice Address - Street 1:740 BURBANK ST
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80020
Practice Address - Country:US
Practice Address - Phone:303-438-0768
Practice Address - Fax:303-438-0503
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO371106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO371OtherLMFT