MEDICARE: LAMYA NUR LPC, NCC

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	0701013850	VA

General Provider Information

NPI Number	:	1881422160
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAMYA NUR LPC, NCC

Provider Business Mailing Address
First Line	:	PO BOX 61271
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23466-1271
Country	:	US
Telephone Number	:	617-721-1261
Fax Number	:

Provider Business Practice Location Address
First Line	:	12020 SUNRISE VALLEY DR
Second Line	:
City	:	RESTON
State	:	VA
Zip	:	20191-3440
Country	:	US
Telephone Number	:	757-447-9565
Fax Number	:

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

Provider Enumeration Date	:	07/26/2024
Last Update Date	:	05/17/2025

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