Provider Demographics
NPI:1861143653
Name:SARAH MARIE LHEUREUX LLC
Entity type:Organization
Organization Name:SARAH MARIE LHEUREUX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:LHEUREUX
Authorized Official - Suffix:
Authorized Official - Credentials:LPC0017028
Authorized Official - Phone:872-256-2411
Mailing Address - Street 1:1672 RIVERSIDE AVE APT B213
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-1317
Mailing Address - Country:US
Mailing Address - Phone:872-256-2411
Mailing Address - Fax:720-764-9319
Practice Address - Street 1:300 E HORSETOOTH RD
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-3154
Practice Address - Country:US
Practice Address - Phone:872-256-2411
Practice Address - Fax:720-764-9319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-12
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1124617857OtherNPI
IL180013473OtherIL LICENSURE
COLPC.0017028OtherLICENSURE FOR CO