Provider Demographics
NPI:1679864805
Name:TIANA, AHIMSA (LMFT)
Entity type:Individual
Prefix:
First Name:AHIMSA
Middle Name:
Last Name:TIANA
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 1:830 G ST STE 220
Mailing Address - Street 2:
Mailing Address - City:ARCATA
Mailing Address - State:CA
Mailing Address - Zip Code:95521-6256
Mailing Address - Country:US
Mailing Address - Phone:707-267-5812
Mailing Address - Fax:
Practice Address - Street 1:830 G ST STE 220
Practice Address - Street 2:
Practice Address - City:ARCATA
Practice Address - State:CA
Practice Address - Zip Code:95521-6256
Practice Address - Country:US
Practice Address - Phone:707-267-5812
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-21
Last Update Date:2025-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA88453101YM0800X
CA107211106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health