MEDICARE: BASIRA THERAPY PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1073460333
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BASIRA THERAPY PLLC

Provider Business Mailing Address
First Line	:	9220 KELLY CT
Second Line	:
City	:	ORLAND HILLS
State	:	IL
Zip	:	60487-4692
Country	:	US
Telephone Number	:	219-669-4372
Fax Number	:

Provider Business Practice Location Address
First Line	:	9220 KELLY CT
Second Line	:
City	:	ORLAND HILLS
State	:	IL
Zip	:	60487-4692
Country	:	US
Telephone Number	:	219-669-4372
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	SHIREEN MUSLEH
Credential	:	LCPC
Telephone Number	:	219-669-4372

Provider Enumeration Date	:	03/14/2026
Last Update Date	:	03/14/2026

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