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NPI Code Detail

MEDICARE: KHYMORAH BASHIR

MEDICARE: KHYMORAH BASHIR
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
1101YP2500XProfessional CounselorAPC010374GA

General Provider Information

NPI Number : 1528923281
Entity Type Code : Individual
Provider Name (Legal Business Name) : KHYMORAH BASHIR
Provider Business Mailing Address
First Line : 3455 PEACHTREE RD NE FL 5
Second Line :
City : ATLANTA
State : GA
Zip : 30326-3254
Country : US
Telephone Number : 770-940-0481
Fax Number :
Provider Business Practice Location Address
First Line : 3455 PEACHTREE RD NE FL 5
Second Line :
City : ATLANTA
State : GA
Zip : 30326-3254
Country : US
Telephone Number : 415-992-6155
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2025
Last Update Date : 12/17/2025

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Directions to “ KHYMORAH BASHIR ” Practice Location

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