Provider Demographics
NPI:1003029802
Name:BLASHILL, LEILANI TOMO (MA)
Entity Type:Individual
Prefix:MS
First Name:LEILANI
Middle Name:TOMO
Last Name:BLASHILL
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MISS
Other - First Name:LEILANI
Other - Middle Name:TOMO
Other - Last Name:SHIRAISHI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:13960 W. 73RD AVE.
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80005
Mailing Address - Country:US
Mailing Address - Phone:303-335-7335
Mailing Address - Fax:303-733-8239
Practice Address - Street 1:456 BANNOCK ST.
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204
Practice Address - Country:US
Practice Address - Phone:303-504-1700
Practice Address - Fax:303-733-8239
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health