Provider Demographics
NPI:1720714298
Name:LOUIS, LIZZIE (LCPC, LCCC)
Entity Type:Individual
Prefix:
First Name:LIZZIE
Middle Name:
Last Name:LOUIS
Suffix:
Gender:F
Credentials:LCPC, LCCC
Other - Prefix:DR
Other - First Name:LIZZIE
Other - Middle Name:
Other - Last Name:LOUIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCPC, LCCC
Mailing Address - Street 1:10660 E BETHANY DR STE 14
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-2602
Mailing Address - Country:US
Mailing Address - Phone:720-352-6000
Mailing Address - Fax:
Practice Address - Street 1:10660 E BETHANY DR STE 14
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-2602
Practice Address - Country:US
Practice Address - Phone:720-352-6000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-27
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health