Provider Demographics
NPI:1245956366
Name:ISOM, AKIA MARCHE' (LMFT, MFT)
Entity type:Individual
Prefix:MRS
First Name:AKIA
Middle Name:MARCHE'
Last Name:ISOM
Suffix:
Gender:F
Credentials:LMFT, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10463 DESERT BLOOM WAY
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80925-1350
Mailing Address - Country:US
Mailing Address - Phone:719-229-0524
Mailing Address - Fax:
Practice Address - Street 1:10463 DESERT BLOOM WAY
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80925-1350
Practice Address - Country:US
Practice Address - Phone:719-229-0524
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-19
Last Update Date:2024-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA143367106H00000X
CO00002520106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist