Provider Demographics
NPI:1992251722
Name:LEFEUVRE, CAROLYN
Entity type:Individual
Prefix:
First Name:CAROLYN
Middle Name:
Last Name:LEFEUVRE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16340 E FREMONT AVE
Mailing Address - Street 2:UNIT 3
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-1686
Mailing Address - Country:US
Mailing Address - Phone:719-444-5960
Mailing Address - Fax:
Practice Address - Street 1:6208 LEHMAN DR
Practice Address - Street 2:STE 317
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-8411
Practice Address - Country:US
Practice Address - Phone:719-314-2536
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-31
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.099243461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical