Provider Demographics
NPI:1932737038
Name:LACHETA, SHANNON (NLC, BA)
Entity Type:Individual
Prefix:
First Name:SHANNON
Middle Name:
Last Name:LACHETA
Suffix:
Gender:F
Credentials:NLC, BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 KING ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80219-1326
Mailing Address - Country:US
Mailing Address - Phone:303-225-4100
Mailing Address - Fax:303-225-4101
Practice Address - Street 1:325 KING ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80219-1326
Practice Address - Country:US
Practice Address - Phone:303-225-4100
Practice Address - Fax:303-225-4101
Is Sole Proprietor?:No
Enumeration Date:2020-04-01
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health