NPI Registry.org

Carolyn Lastra Black

NPI Registration Record

Provider / OrganizationNPIDate Certified
CAROLYN LASTRA BLACK15083312572024-10-13

Carolyn Lastra Black is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1508331257. Registration indicates Carolyn Lastra Black is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Psychologist (Behavioral Health & Social Service Providers, Psychologist) (Psychologist, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Psychologist, Behavioral Health & Social Service Providers) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Psychologist) (Behavioral Health & Social Service Providers, Psychologist) (Psychologist: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Psychologist Clinical, Behavioral Health & Social Service Providers) (Psychologist, )

Entity TypeIndividual
Provider NameDr. Carolyn Lastra Black PSYD, LP
Other Provider Name Carolyn Lastra Raffel
Practice Office Address1555 S HAVANA ST UNIT F-336
DENVER, CO US
Practice Office Telephone7205154291
Mailing Address1555 S HAVANA ST UNIT F-336
AURORA, CO 800125004 US
Business Telephone7205154291
Offices / Locations
AddressCity / StatePhone / Fax
2450 S Vine St Denver, CO 802105264 3038713626
8931 Huron St Thornton, CO 802606806 3038533500
HPT Codes
CodePractice
License No
State
103T00000XAccess to Mental Health/Behavioral Health Providers
Behavioral Health & Social Service Providers
Psychologist
Behavioral Health & Social Service Providers
Psychologist
Psychologist

Behavioral Health/Substance Abuse/Psychiatry

Psychologist
Behavioral Health & Social Service Providers
PSY.0006222
CO
103TC0700X PRIMARYAccess to Mental Health/Behavioral Health Providers
Behavioral Health & Social Service Providers
Psychologist
Behavioral Health & Social Service Providers
Psychologist
Psychologist: Clinical

Behavioral Health/Substance Abuse/Psychiatry

Psychologist Clinical
Behavioral Health & Social Service Providers
Psychologist
PSY.0006222
CO
OPI Codes
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