Provider Demographics
NPI:1093038622
Name:NABA, ADIA NISHATI (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ADIA
Middle Name:NISHATI
Last Name:NABA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 CYPRESS STATION DR STE 157
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-1626
Mailing Address - Country:US
Mailing Address - Phone:281-965-1019
Mailing Address - Fax:
Practice Address - Street 1:110 CYPRESS STATION DR STE 157
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-1626
Practice Address - Country:US
Practice Address - Phone:281-965-1019
Practice Address - Fax:281-990-6464
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-10
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX663701041C0700X
IL1490114041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical