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NPI Code Detail

MEDICARE: DR. MONA NOUR LCMHC

MEDICARE: DR. MONA NOUR 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
1101YP2500XProfessional Counselor15628NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
115628OTHERNCLICENSED CLINICAL MENTAL HEALTH COUNSELOR

General Provider Information

NPI Number : 1568098903
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MONA NOUR LCMHC
Provider Business Mailing Address
First Line : 11428 ROYAL AMBER WAY
Second Line :
City : RALEIGH
State : NC
Zip : 27614-9896
Country : US
Telephone Number : 919-306-1234
Fax Number : 919-551-7568
Provider Business Practice Location Address
First Line : 11428 ROYAL AMBER WAY
Second Line :
City : RALEIGH
State : NC
Zip : 27614-9896
Country : US
Telephone Number : 919-306-1234
Fax Number : 919-551-7568
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2020
Last Update Date : 04/08/2026

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