Provider Demographics
NPI:1316267909
Name:MOHEBI, MEHRNUSH (EDD, LPC)
Entity type:Individual
Prefix:MRS
First Name:MEHRNUSH
Middle Name:
Last Name:MOHEBI
Suffix:
Gender:F
Credentials:EDD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8350 GREENSBORO DR UNIT 924
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22102-3549
Mailing Address - Country:US
Mailing Address - Phone:703-442-0198
Mailing Address - Fax:
Practice Address - Street 1:8221 WILLOW OAKS CORPORATE DR # VA22031
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-4512
Practice Address - Country:US
Practice Address - Phone:170-353-8320
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-04
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701004840101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional