Provider Demographics
NPI:1164196499
Name:SEILER, LANA LILA (LCSW)
Entity Type:Individual
Prefix:
First Name:LANA
Middle Name:LILA
Last Name:SEILER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7920
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:CO
Mailing Address - Zip Code:81620-7920
Mailing Address - Country:US
Mailing Address - Phone:561-317-0500
Mailing Address - Fax:
Practice Address - Street 1:1019 EDWARDS VILLIAGE BLVD
Practice Address - Street 2:B7
Practice Address - City:EDWARDS
Practice Address - State:CO
Practice Address - Zip Code:81632
Practice Address - Country:US
Practice Address - Phone:561-317-0500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-02
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.099264601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical