Healthcare Provider Details

I. General information

NPI: 1124855986
Provider Name (Legal Business Name): LISA NICOLE LAUNER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2024
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 W HAMPDEN AVE STE 375
ENGLEWOOD CO
80110-2221
US

IV. Provider business mailing address

4999 S PRINCE CT APT 302
LITTLETON CO
80123-7769
US

V. Phone/Fax

Practice location:
  • Phone: 303-578-6318
  • Fax:
Mailing address:
  • Phone: 956-844-6154
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPCC.0024201
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: