Provider Demographics
NPI:1124344031
Name:OHAYA, ATHANASIUS UMUNNAKWE (MA,CAS, MFTC, LPCC)
Entity type:Individual
Prefix:MR
First Name:ATHANASIUS
Middle Name:UMUNNAKWE
Last Name:OHAYA
Suffix:
Gender:M
Credentials:MA,CAS, MFTC, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11111 E MISSISSIPPI AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-3186
Mailing Address - Country:US
Mailing Address - Phone:303-296-2350
Mailing Address - Fax:303-296-2350
Practice Address - Street 1:11111 E MISSISSIPPI AVE STE 200
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-3186
Practice Address - Country:US
Practice Address - Phone:303-296-2350
Practice Address - Fax:303-296-2450
Is Sole Proprietor?:No
Enumeration Date:2010-04-16
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1663-00101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)