DR. MOHAMMAD MEHDI MOMTAHAN PH.D. NPI 1225271422

NPI Information

NPI: 1225271422
Provider Name: DR. MOHAMMAD MEHDI MOMTAHAN, PH.D.
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
59 HILLSIDE TRACE
SUITE 113
DALLAS, GA
ZIP 30157
Phone: (770) 443-1644
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DR. Mohammad Mehdi Momtahan, PH.D. is a professional counselor in Dallas, GA. DR. Mohammad Mehdi Momtahan, PH.D. NPI is 1225271422. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

59 HILLSIDE TRACE
SUITE 113
DALLAS, GA
ZIP 30157-315
Phone: (770) 443-1644
Fax: (770) 443-1633

The enumeration date for this NPI number is 4/17/2009 and was last updated on 1/5/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		NCC 210724	GEORGIA	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	C0040	GEORGIA	No
3	101YA0400X	Counselor	Addiction (Substance Use Disorder)	MAC 12619	INDIANA	No
4	101YA0400X	Counselor	Addiction (Substance Use Disorder)	ICAADC 202225	GEORGIA	No
5	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CCODP-D 0004	GEORGIA	No
6	101YM0800X	Counselor	Mental Health	ACS 00557	GEORGIA	No
7	101YP2500X	Counselor	Professional	LPC004345	GEORGIA	Yes
8	174400000X	Specialist		CFAS 12619	INDIANA	No
9	174400000X	Specialist		BDFC 12619	INDIANA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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