Healthcare Provider Details

I. General information

NPI: 1265343206
Provider Name (Legal Business Name): LEA CSISZER
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 100 YEARPARTY CT STE 200
LONGMONT CO
80504-8591
US

IV. Provider business mailing address

720 100 YEARPARTY CT STE 200
LONGMONT CO
80504-8591
US

V. Phone/Fax

Practice location:
  • Phone: 720-449-6676
  • Fax: 303-374-5224
Mailing address:
  • Phone: 720-449-6676
  • Fax: 303-374-5224

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: