# LIVING PROOF LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568983930
- **Authorized official:** DR. LAURA J HAYS PHD, FPMH-NP, RXN (SOLE OWNER-PSYCHIATRIC NP)
- **Authorized official phone:** (303) 912-0932

## Contact information

- **Practice address:** 309 SAN JUAN AVE, ALAMOSA, CO 81101-2534
- **Practice address phone:** (303) 912-0932
- **Practice address fax:** (719) 937-2053
- **Mailing address:** 304 SAN JUAN AVE, ALAMOSA, CO 81101-2552
- **Mailing address phone:** (303) 912-0932
- **Mailing address fax:** (719) 937-2053

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 5376 | CO | Yes |

## Other

- **Enumeration date:** 07/06/2017
- **Last updated:** 07/06/2017