1255691259 NPI number — MS. LILA ANNE ADAMS M.A., LPC., NCC

Table of content: NICHOLAS DARGEL DDS (NPI 1710400171)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1255691259 NPI number — MS. LILA ANNE ADAMS M.A., LPC., NCC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ADAMS
Provider First Name:
LILA
Provider Middle Name:
ANNE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
M.A., LPC., NCC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ADAMS
Provider Other First Name:
LILA
Provider Other Middle Name:
A
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.A., L.P.C., N.C.C.
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1255691259
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/17/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7220 W JEFFERSON AVE
Provider Second Line Business Mailing Address:
SUITE #109
Provider Business Mailing Address City Name:
LAKEWOOD
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80235-2031
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-250-0002
Provider Business Mailing Address Fax Number:
720-524-3769

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7220 W JEFFERSON AVE
Provider Second Line Business Practice Location Address:
SUITE #109
Provider Business Practice Location Address City Name:
LAKEWOOD
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80235-2031
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-250-0002
Provider Business Practice Location Address Fax Number:
720-524-3769
Provider Enumeration Date:
05/23/2012

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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