Search › Colorado › 363L00000X
Tarah Thevenot
NPI 1275146524 · on the registry since 2020 · sole proprietor
Practice
- Address
- 1702 E Pikes Peak Ave
Colorado Springs, CO 80909 - Phone
- (719) 358-7338
- Organisation at this address
- New Horizon Youth And Family Services Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Additional practice sites
- 4238 Ne 29th Pl, Ocala, FL
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 207Q00000X
363LF0000X - Licence states on file
- FL, CO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-11-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado