Provider Demographics
NPI:1194451823
Name:BEIKMOHAMADI, LEILA (LPA)
Entity type:Individual
Prefix:
First Name:LEILA
Middle Name:
Last Name:BEIKMOHAMADI
Suffix:
Gender:F
Credentials:LPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 OAK PLZ STE 208
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-3000
Mailing Address - Country:US
Mailing Address - Phone:828-575-9760
Mailing Address - Fax:
Practice Address - Street 1:1 OAK PLZ STE 208
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-3000
Practice Address - Country:US
Practice Address - Phone:828-575-9760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-26
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6146101YM0800X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health