Provider Demographics
NPI:1598909053
Name:HEYDARI, MONICA (LCPC)
Entity Type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:
Last Name:HEYDARI
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7586 W JEWELL AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80232-6838
Mailing Address - Country:US
Mailing Address - Phone:720-486-9987
Mailing Address - Fax:
Practice Address - Street 1:7586 W JEWELL AVE STE 201
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80232-6838
Practice Address - Country:US
Practice Address - Phone:720-486-9987
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-28
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180-007178101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional