Provider Demographics
NPI:1922841089
Name:SOMER LUNDBORG THERAPY
Entity type:Organization
Organization Name:SOMER LUNDBORG THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SOMER
Authorized Official - Middle Name:
Authorized Official - Last Name:LUNDBORG
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:303-525-0064
Mailing Address - Street 1:11934 E ALASKA AVE
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-2223
Mailing Address - Country:US
Mailing Address - Phone:303-525-0064
Mailing Address - Fax:
Practice Address - Street 1:1355 S COLORADO BLVD STE 100
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-3358
Practice Address - Country:US
Practice Address - Phone:720-663-7728
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-17
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty