Healthcare Provider Details

I. General information

NPI: 1801752738
Provider Name (Legal Business Name): MOHSEN PARVIZI LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2026
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1850 CAMERON GLEN DR STE 600
RESTON VA
20190-3343
US

IV. Provider business mailing address

1850 CAMERON GLEN DR STE 600
RESTON VA
20190-3343
US

V. Phone/Fax

Practice location:
  • Phone: 703-481-4100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: