Healthcare Provider Details

I. General information

NPI: 1942604707
Provider Name (Legal Business Name): RANA GHAZALY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/22/2014
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

694 WESTERN AVE
LYNN MA
01905-2229
US

IV. Provider business mailing address

14302 ARBORCREST ST
HOUSTON TX
77062-2026
US

V. Phone/Fax

Practice location:
  • Phone: 781-595-7747
  • Fax:
Mailing address:
  • Phone: 708-289-6669
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number83956
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number4539
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: