Healthcare Provider Details

I. General information

NPI: 1336761691
Provider Name (Legal Business Name): CONFIDANT PROVIDERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2020
Last Update Date: 03/05/2025
Certification Date: 03/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 RESTON METRO PLZ STE 600
RESTON VA
20190-5952
US

IV. Provider business mailing address

1204 SAN ANTONIO ST FL 2
AUSTIN TX
78701-1869
US

V. Phone/Fax

Practice location:
  • Phone: 203-747-8696
  • Fax:
Mailing address:
  • Phone: 203-747-8696
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MR. NEEMA AMINI
Title or Position: VP / GENERAL COUNSEL
Credential:
Phone: 504-296-0224