Provider Demographics
NPI:1932165859
Name:LAHRS, LISA Y (LPC)
Entity Type:Individual
Prefix:MRS
First Name:LISA
Middle Name:Y
Last Name:LAHRS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 70TH AVE STE 221
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80634-4628
Mailing Address - Country:US
Mailing Address - Phone:303-482-5716
Mailing Address - Fax:
Practice Address - Street 1:2001 70TH AVE STE 221
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-4628
Practice Address - Country:US
Practice Address - Phone:303-482-5716
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-21
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3531101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE96115OtherBC/BS SUPERVISION
NE39189435427Medicare ID - Type Unspecified