Provider Demographics
NPI:1932918778
Name:TASCHNER, LARA GAYLE (MFTC)
Entity type:Individual
Prefix:
First Name:LARA
Middle Name:GAYLE
Last Name:TASCHNER
Suffix:
Gender:F
Credentials:MFTC
Other - Prefix:
Other - First Name:LARA
Other - Middle Name:GAYLE
Other - Last Name:POTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:21511 TYROLITE AVE
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138-9020
Mailing Address - Country:US
Mailing Address - Phone:720-300-4132
Mailing Address - Fax:
Practice Address - Street 1:9197 W 6TH AVE STE 600
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80215-5106
Practice Address - Country:US
Practice Address - Phone:720-640-8322
Practice Address - Fax:720-640-8323
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-06
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMFTC.00014744106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist