Provider Demographics
NPI:1235952698
Name:CLAY, LISA ANN (MA, NCC, LPCC)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:ANN
Last Name:CLAY
Suffix:
Gender:F
Credentials:MA, NCC, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13918 E MISSISSIPPI AVE STE 60-638
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-3603
Mailing Address - Country:US
Mailing Address - Phone:888-201-0547
Mailing Address - Fax:
Practice Address - Street 1:13918 E MISSISSIPPI AVE STE 60-638
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-3603
Practice Address - Country:US
Practice Address - Phone:888-201-0547
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-04
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0021348101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional