Provider Demographics
NPI:1356195325
Name:BUCKMAN, LISA MICHELLE (LPCC)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:MICHELLE
Last Name:BUCKMAN
Suffix:
Gender:
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 SUN VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:WOODLAND PARK
Mailing Address - State:CO
Mailing Address - Zip Code:80863-7727
Mailing Address - Country:US
Mailing Address - Phone:850-496-7781
Mailing Address - Fax:
Practice Address - Street 1:7660 GODDARD ST STE 130
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-8231
Practice Address - Country:US
Practice Address - Phone:850-496-7781
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-15
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health