Latifa Ibrahim Sweri-Fakhouri, LCPC-C

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

XL4795 Issued in ME

Practice address

175 Lancaster St Ste 218a
Portland, ME 04101-2451

Phone

(207) 669-7580

NPI assigned

Jun 22, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498089600000",
    "number": "1477073237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SILVER BROOK CIR",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040748469",
            "telephone_number": "267-441-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 LANCASTER ST STE 218A",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012451",
            "telephone_number": "207-669-7580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWERI-FAKHOURI",
        "first_name": "LATIFA",
        "middle_name": "IBRAHIM",
        "name_prefix": "Mrs.",
        "credential": "LCPC-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-22",
        "last_updated": "2017-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "XL4795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Portland, ME
• Providers in Portland, ME by specialty
• Mental Health Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.