Provider Demographics
NPI:1851001655
Name:HUSAIN, MAHAM (MFT)
Entity Type:Individual
Prefix:
First Name:MAHAM
Middle Name:
Last Name:HUSAIN
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 N 9TH ST APT 514
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19123-1224
Mailing Address - Country:US
Mailing Address - Phone:678-906-5469
Mailing Address - Fax:
Practice Address - Street 1:900 N 9TH ST APT 514
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19123-1224
Practice Address - Country:US
Practice Address - Phone:678-906-5469
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-02
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health