Provider Demographics
NPI:1699851782
Name:LOOKABILL, LINDA B (LPC, CEAP, SAP)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:B
Last Name:LOOKABILL
Suffix:
Gender:F
Credentials:LPC, CEAP, SAP
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:BECK
Other - Last Name:DECOU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LPC
Mailing Address - Street 1:PO BOX 281067
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80228-8067
Mailing Address - Country:US
Mailing Address - Phone:303-945-9663
Mailing Address - Fax:303-845-9630
Practice Address - Street 1:889 S COLE DR
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-3021
Practice Address - Country:US
Practice Address - Phone:303-945-9663
Practice Address - Fax:303-845-9630
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-31
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4389101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO10410861OtherCAQH