Healthcare Provider Details

I. General information

NPI: 1407703044
Provider Name (Legal Business Name): FARINAZ AMIRSEHI LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/12/2026
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1313 VINCENT PL
MC LEAN VA
22101-3615
US

IV. Provider business mailing address

2701 MILITARY RD
ARLINGTON VA
22207-5158
US

V. Phone/Fax

Practice location:
  • Phone: 703-288-1566
  • Fax:
Mailing address:
  • Phone: 703-615-4286
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0701003783
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: