Healthcare Provider Details

I. General information

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

II. Dates (important events)

Enumeration Date: 05/02/2026
Last Update Date: 05/02/2026
Certification Date: 05/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17542 IRVINE BLVD STE D
TUSTIN CA
92780-3155
US

IV. Provider business mailing address

17542 IRVINE BLVD STE D
TUSTIN CA
92780-3155
US

V. Phone/Fax

Practice location:
  • Phone: 949-331-5457
  • Fax:
Mailing address:
  • Phone: 949-331-5457
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: NAVEEDA HABIBI
Title or Position: PRESIDENT
Credential: LMFT
Phone: 949-331-5457