MEDICARE: RASHA HUSSEIN MOHAMED PH.D, LCMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	18424	NC

General Provider Information

NPI Number	:	1265878292
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RASHA HUSSEIN MOHAMED PH.D, LCMHC

Provider Business Mailing Address
First Line	:	10620 PARK RD STE 208
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28210-0106
Country	:	US
Telephone Number	:	704-360-3637
Fax Number	:

Provider Business Practice Location Address
First Line	:	10850 PROVIDENCE RD # 1111
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28277-2684
Country	:	US
Telephone Number	:	704-360-3637
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2013
Last Update Date	:	09/03/2024

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