Provider Demographics
NPI:1477287332
Name:EEMINISM THERAPY PLLC
Entity Type:Organization
Organization Name:EEMINISM THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:TAFOLLA
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:720-295-5736
Mailing Address - Street 1:425 S CHERRY ST STE 630
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80246-1233
Mailing Address - Country:US
Mailing Address - Phone:720-295-5736
Mailing Address - Fax:
Practice Address - Street 1:425 S CHERRY ST STE 630
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246-1233
Practice Address - Country:US
Practice Address - Phone:720-295-5736
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-14
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health