Provider Demographics
NPI:1306620307
Name:STAPLES, LUCAS (LPCC)
Entity type:Individual
Prefix:
First Name:LUCAS
Middle Name:
Last Name:STAPLES
Suffix:
Gender:M
Credentials:LPCC
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:STAPLES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:20 S PEARL ST APT 1
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-2033
Mailing Address - Country:US
Mailing Address - Phone:408-813-6220
Mailing Address - Fax:
Practice Address - Street 1:1660 S ALBION ST STE 425
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-4043
Practice Address - Country:US
Practice Address - Phone:720-531-3917
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-21
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0020974101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health