Provider Demographics
NPI:1174376529
Name:LASITER-READ, SHELLIE L (LPC, GC-C)
Entity type:Individual
Prefix:
First Name:SHELLIE
Middle Name:L
Last Name:LASITER-READ
Suffix:
Gender:F
Credentials:LPC, GC-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 BROWNING AVE
Mailing Address - Street 2:
Mailing Address - City:WOODLAND PARK
Mailing Address - State:CO
Mailing Address - Zip Code:80863-3306
Mailing Address - Country:US
Mailing Address - Phone:719-213-4685
Mailing Address - Fax:
Practice Address - Street 1:920 BROWNING AVE
Practice Address - Street 2:
Practice Address - City:WOODLAND PARK
Practice Address - State:CO
Practice Address - Zip Code:80863-3306
Practice Address - Country:US
Practice Address - Phone:719-213-4685
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC0017942101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor