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

Table of content: MS. LILA ANNE ADAMS M.A., LPC., NCC (NPI 1255691259)

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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