MEDICARE: NAVEEDA HABIBI, MARRIAGE AND FAMILY THERAPIST ,PROFESSIONAL CORPORATION

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	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1417894825
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NAVEEDA HABIBI, MARRIAGE AND FAMILY THERAPIST ,PROFESSIONAL CORPORATION

Provider Business Mailing Address
First Line	:	17542 IRVINE BLVD STE D
Second Line	:
City	:	TUSTIN
State	:	CA
Zip	:	92780-3155
Country	:	US
Telephone Number	:	949-331-5457
Fax Number	:

Provider Business Practice Location Address
First Line	:	17542 IRVINE BLVD STE D
Second Line	:
City	:	TUSTIN
State	:	CA
Zip	:	92780-3155
Country	:	US
Telephone Number	:	949-331-5457
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	NAVEEDA HABIBI
Credential	:	LMFT
Telephone Number	:	949-331-5457

Provider Enumeration Date	:	05/02/2026
Last Update Date	:	05/02/2026

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