Provider Demographics
NPI:1912614751
Name:ALVANDI, NATASHA (LPCC)
Entity Type:Individual
Prefix:
First Name:NATASHA
Middle Name:
Last Name:ALVANDI
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:380 PERRY ST STE 260
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-2487
Mailing Address - Country:US
Mailing Address - Phone:720-588-3108
Mailing Address - Fax:
Practice Address - Street 1:4775 BARNES RD STE L
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80917-1650
Practice Address - Country:US
Practice Address - Phone:866-644-6131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-01
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0020018101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional