Provider Demographics
NPI:1841989282
Name:NAZARALI, AMMAR (LMSW, LCDC)
Entity type:Individual
Prefix:
First Name:AMMAR
Middle Name:
Last Name:NAZARALI
Suffix:
Gender:M
Credentials:LMSW, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 RADCLIFFE DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-7138
Mailing Address - Country:US
Mailing Address - Phone:817-808-2620
Mailing Address - Fax:
Practice Address - Street 1:5228 VILLAGE CREEK DR STE 100
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-4430
Practice Address - Country:US
Practice Address - Phone:972-913-4738
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-02
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No104100000XBehavioral Health & Social Service ProvidersSocial Worker