Provider Demographics
NPI:1669633236
Name:ADAMS, TISHA LOUISE (MA, ATR, LPC)
Entity Type:Individual
Prefix:MS
First Name:TISHA
Middle Name:LOUISE
Last Name:ADAMS
Suffix:
Gender:F
Credentials:MA, ATR, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 W FLORIDA AVE
Mailing Address - Street 2:#101
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80219-3974
Mailing Address - Country:US
Mailing Address - Phone:720-777-8466
Mailing Address - Fax:
Practice Address - Street 1:13123 E 16TH AVE
Practice Address - Street 2:B361
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-7106
Practice Address - Country:US
Practice Address - Phone:720-777-8466
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-17
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1395101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional