Provider Demographics
NPI:1366971012
Name:MCSEVENEY, LISA (LMFT)
Entity type:Individual
Prefix:MRS
First Name:LISA
Middle Name:
Last Name:MCSEVENEY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6882 S HALEYVILLE CT
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-4130
Mailing Address - Country:US
Mailing Address - Phone:760-608-3746
Mailing Address - Fax:
Practice Address - Street 1:19563 E MAINSTREET STE 206G
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-7367
Practice Address - Country:US
Practice Address - Phone:760-608-3746
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-07
Last Update Date:2017-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO856101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty