Provider Demographics
NPI:1407416126
Name:HARLAN, KIANA (LCSW)
Entity type:Individual
Prefix:MISS
First Name:KIANA
Middle Name:
Last Name:HARLAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8000 W CRESTLINE AVE APT 417
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-1290
Mailing Address - Country:US
Mailing Address - Phone:719-435-9766
Mailing Address - Fax:828-372-4645
Practice Address - Street 1:8000 W CRESTLINE AVE APT 417
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-1290
Practice Address - Country:US
Practice Address - Phone:719-435-9766
Practice Address - Fax:828-372-4645
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-14
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLCAS-26619101YA0400X
VA09040156761041C0700X
FLTPSW31801041C0700X
NCC0145971041C0700X
NCP0135781041C0700X
COCSW.099283631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)