Provider Demographics
NPI:1699508184
Name:EMMA MAHN LLC
Entity type:Organization
Organization Name:EMMA MAHN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIORAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:C
Authorized Official - Last Name:MAHN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:505-903-3019
Mailing Address - Street 1:18121 E HAMPDEN AVE UNIT C1310
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80013-3590
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:18121 E HAMPDEN AVE UNIT C1310
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80013-3590
Practice Address - Country:US
Practice Address - Phone:505-903-3019
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-21
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty