Provider Demographics
NPI:1699486415
Name:TAYLOR OFORI-ATTA, ABA
Entity type:Individual
Prefix:
First Name:ABA
Middle Name:
Last Name:TAYLOR OFORI-ATTA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5275 EDINA INDUSTRIAL BLVD STE 220
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55439-2903
Mailing Address - Country:US
Mailing Address - Phone:612-688-5968
Mailing Address - Fax:
Practice Address - Street 1:KAIROS THERAPY INSTITUTE
Practice Address - Street 2:5275 INDUSTRIAL BLVD S220
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55439
Practice Address - Country:US
Practice Address - Phone:612-688-5968
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-13
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health