Provider Demographics
NPI:1871555276
Name:DOWNS, LISA R (LPC,, RPT)
Entity type:Individual
Prefix:MS
First Name:LISA
Middle Name:R
Last Name:DOWNS
Suffix:
Gender:F
Credentials:LPC,, RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2619 W 11TH STREET RD STE 23
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80634-5459
Mailing Address - Country:US
Mailing Address - Phone:303-514-6129
Mailing Address - Fax:970-351-7165
Practice Address - Street 1:2619 W 11TH STREET RD STE 23
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-5459
Practice Address - Country:US
Practice Address - Phone:303-514-6129
Practice Address - Fax:970-351-7165
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-03
Last Update Date:2010-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3374101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health