Provider Demographics
NPI:1467069104
Name:NABAVI, NADIA
Entity Type:Individual
Prefix:
First Name:NADIA
Middle Name:
Last Name:NABAVI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6430 RICHMOND AVE STE 380
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-5989
Mailing Address - Country:US
Mailing Address - Phone:713-291-3432
Mailing Address - Fax:
Practice Address - Street 1:6430 RICHMOND AVE STE 380
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-5989
Practice Address - Country:US
Practice Address - Phone:713-291-3432
Practice Address - Fax:713-981-5869
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-27
Last Update Date:2020-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX69830101Y00000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX69830OtherLPC FOR TEXASS