Provider Demographics
NPI:1881400315
Name:LAOS, JOEL
Entity type:Individual
Prefix:
First Name:JOEL
Middle Name:
Last Name:LAOS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2953 DRAGONFLY CT
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80109-8660
Mailing Address - Country:US
Mailing Address - Phone:720-257-3406
Mailing Address - Fax:
Practice Address - Street 1:7505 VILLAGE SQUARE DR STE 207
Practice Address - Street 2:
Practice Address - City:CASTLE PINES
Practice Address - State:CO
Practice Address - Zip Code:80108-3693
Practice Address - Country:US
Practice Address - Phone:303-323-4722
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-09
Last Update Date:2025-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0021741101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor