Healthcare Provider Details

I. General information

NPI: 1245159938
Provider Name (Legal Business Name): MAHMOUD DAHIR ADANI RESIDENT IN COUNSELI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5510 CHEROKEE AVE STE 300
ALEXANDRIA VA
22312-2320
US

IV. Provider business mailing address

12660 LANDVIEW DR
MANASSAS VA
20112-4633
US

V. Phone/Fax

Practice location:
  • Phone: 571-242-2686
  • Fax:
Mailing address:
  • Phone: 571-242-2686
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0704019227
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: