Provider Demographics
NPI:1366889875
Name:ASHLEY TAHERI LCSW PLLC
Entity type:Organization
Organization Name:ASHLEY TAHERI LCSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:TAHERI
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:518-713-4703
Mailing Address - Street 1:423A NEW KARNER RD
Mailing Address - Street 2:FLOOR 2
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12205-5801
Mailing Address - Country:US
Mailing Address - Phone:518-713-4703
Mailing Address - Fax:518-713-4707
Practice Address - Street 1:423A NEW KARNER RD
Practice Address - Street 2:FLOOR 2
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12205-5801
Practice Address - Country:US
Practice Address - Phone:518-713-4703
Practice Address - Fax:518-713-4707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-24
Last Update Date:2013-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty