Provider Demographics
NPI:1851019608
Name:AHMED, IMAAN (LPC)
Entity type:Individual
Prefix:
First Name:IMAAN
Middle Name:
Last Name:AHMED
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1925 W RIVER RD APT 14306
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-1793
Mailing Address - Country:US
Mailing Address - Phone:630-290-8735
Mailing Address - Fax:
Practice Address - Street 1:6303 E TANQUE VERDE RD STE 210
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85715-3859
Practice Address - Country:US
Practice Address - Phone:520-423-5600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-18
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.017665101YM0800X
AZ23703101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health