Provider Demographics
NPI:1528587904
Name:ESLAMI, NARGES MAHJOUB (LMFT)
Entity Type:Individual
Prefix:
First Name:NARGES
Middle Name:MAHJOUB
Last Name:ESLAMI
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:NARGES
Other - Middle Name:MAHJOUB
Other - Last Name:ESLAMI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2101 BUSINESS CENTER DR STE 150
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92612-1022
Mailing Address - Country:US
Mailing Address - Phone:949-502-4721
Mailing Address - Fax:
Practice Address - Street 1:23331 EL TORO RDE
Practice Address - Street 2:
Practice Address - City:LAKE FOREST
Practice Address - State:CA
Practice Address - Zip Code:92630-1022
Practice Address - Country:US
Practice Address - Phone:949-274-3312
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-17
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health