MEDICARE: HEPATOALLAH YOUSSEF

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	101YM0800X	Mental Health Counselor	LC17744	MD

General Provider Information

NPI Number	:	1093594194
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEPATOALLAH YOUSSEF

Provider Business Mailing Address
First Line	:	3525 ELLICOTT MILLS DR STE H105
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21043-4506
Country	:	US
Telephone Number	:	410-429-0539
Fax Number	:

Provider Business Practice Location Address
First Line	:	3525H ELLICOTT MILLS DR STE 105
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21043-4544
Country	:	US
Telephone Number	:	410-429-0539
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2023
Last Update Date	:	06/08/2026

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