Provider Demographics
NPI:1811282007
Name:JONI HANDRAN LLC
Entity type:Organization
Organization Name:JONI HANDRAN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:JONI
Authorized Official - Middle Name:M
Authorized Official - Last Name:HANDRAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, CACIII
Authorized Official - Phone:720-261-7042
Mailing Address - Street 1:2525 16TH ST
Mailing Address - Street 2:118G
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-3959
Mailing Address - Country:US
Mailing Address - Phone:720-261-7042
Mailing Address - Fax:866-271-5038
Practice Address - Street 1:2525 16TH ST
Practice Address - Street 2:118G
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-3959
Practice Address - Country:US
Practice Address - Phone:720-261-7042
Practice Address - Fax:866-271-5038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-15
Last Update Date:2011-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6431101YA0400X
CO8351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty