Provider Demographics
NPI:1417394016
Name:MOUSTAFA, EMAN (LMFT)
Entity Type:Individual
Prefix:MS
First Name:EMAN
Middle Name:
Last Name:MOUSTAFA
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:263 HAYWOOD ST STE 105
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-2629
Mailing Address - Country:US
Mailing Address - Phone:585-797-8341
Mailing Address - Fax:
Practice Address - Street 1:263 HAYWOOD ST STE 105
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2629
Practice Address - Country:US
Practice Address - Phone:585-797-8341
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-23
Last Update Date:2016-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT2691106H00000X
NC1707106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist