Provider Demographics
NPI:1790584688
Name:RASSULI, ARMAHN
Entity type:Individual
Prefix:
First Name:ARMAHN
Middle Name:
Last Name:RASSULI
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 WYTHE ST APT 457
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-2596
Mailing Address - Country:US
Mailing Address - Phone:703-615-8544
Mailing Address - Fax:
Practice Address - Street 1:1737 KING ST STE 330
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-2760
Practice Address - Country:US
Practice Address - Phone:703-589-9878
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-12
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810008819103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical