Provider Demographics
NPI:1619702974
Name:AKBARI, TAHEREH MONA
Entity type:Individual
Prefix:
First Name:TAHEREH
Middle Name:MONA
Last Name:AKBARI
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 1:8800 FOX DR STE 110
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80260-6880
Mailing Address - Country:US
Mailing Address - Phone:720-381-0072
Mailing Address - Fax:
Practice Address - Street 1:8800 FOX DR STE 110
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80260-6880
Practice Address - Country:US
Practice Address - Phone:720-381-0072
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-05
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0000001903101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)