Provider Demographics
NPI:1447660915
Name:STOREY-LOPEZ, LYDIA ANN (LPC LAC)
Entity type:Individual
Prefix:
First Name:LYDIA
Middle Name:ANN
Last Name:STOREY-LOPEZ
Suffix:
Gender:F
Credentials:LPC LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3431 HIGHWAY 348
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:CO
Mailing Address - Zip Code:81425-9744
Mailing Address - Country:US
Mailing Address - Phone:970-596-4590
Mailing Address - Fax:970-737-7699
Practice Address - Street 1:3431 HIGHWAY 348
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:CO
Practice Address - Zip Code:81425-9744
Practice Address - Country:US
Practice Address - Phone:970-596-4590
Practice Address - Fax:970-245-7493
Is Sole Proprietor?:No
Enumeration Date:2014-05-05
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC0013513101YP2500X, 101YP2500X
COACD.0001487101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)