Provider Demographics
NPI:1861897191
Name:THE LABYRINTH INSTITUTE, PLLC
Entity type:Organization
Organization Name:THE LABYRINTH INSTITUTE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:LESLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:CUNNINGHAM
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:720-509-9832
Mailing Address - Street 1:2687 NORTHPARK DR STE 103
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026-3176
Mailing Address - Country:US
Mailing Address - Phone:303-357-1689
Mailing Address - Fax:
Practice Address - Street 1:2687 NORTHPARK DR STE 103
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CO
Practice Address - Zip Code:80026-3176
Practice Address - Country:US
Practice Address - Phone:303-357-1689
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-29
Last Update Date:2015-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0013627101YM0800X
COLPC.0006361101YM0800X
COLPCC.0013813101YM0800X
COCSW.000018921041C0700X
COLPC.0001049101YM0800X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty