Provider Demographics
NPI:1215517446
Name:PADILLA, LUCY ITALYA
Entity type:Individual
Prefix:
First Name:LUCY
Middle Name:ITALYA
Last Name:PADILLA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4661 S DECATUR ST APT 304
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80110-5346
Mailing Address - Country:US
Mailing Address - Phone:303-345-3273
Mailing Address - Fax:
Practice Address - Street 1:4661 S DECATUR ST APT 304
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80110-5346
Practice Address - Country:US
Practice Address - Phone:303-345-3273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-12
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X
COBACB629936106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician