NPI 1629500293 · live from the CMS NPI Registry
Babak Alidoosti, LMFT
Marriage & Family Therapist in Gainesville, VA. National Provider Identifier 1629500293, active.
NPI record
| NPI | 1629500293 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 7230 Heritage Village Plz, Suite 202, Gainesville, VA 20155 |
| Practice phone | 703-754-0636 |
| Mailing address | 4614 Hull Dr, Haymarket, VA 20169 |
| Enumerated | April 1, 2017 |
| Last updated | April 1, 2017 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | 0717001365 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.