Healthcare Provider Details

I. General information

NPI: 1629354576
Provider Name (Legal Business Name): LISA CONTE M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/24/2011
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

324 E RAILROAD AVE STE 300B
FORT MORGAN CO
80701-3101
US

IV. Provider business mailing address

816 WILSON AVE
FORT MORGAN CO
80701-3877
US

V. Phone/Fax

Practice location:
  • Phone: 970-743-0567
  • Fax:
Mailing address:
  • Phone: 303-579-3894
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: