Babak Alidoosti, LMFT
Individual provider Active NPI Marriage & Family Therapist · Gainesville, VA
NPI 1629500293 · NPPES record last updated Apr 1, 2017
Key facts
- NPI
- 1629500293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 0717001365 (VA)
- Practice address
- 7230 Heritage Village PLZ
Suite 202
Gainesville, VA 20155-3053 - Phone
- (703) 754-0636
- NPI assigned
- Apr 1, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0717001365 | VA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marriage Healing Center, LLC | Past | Accepting new patients | |
| Life Enrichment Counseling Center, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 0717001365 | VA | Yes |
Addresses
Primary practice location
7230 Heritage Village PLZ
Suite 202
Gainesville, VA 20155-3053
Mailing address
4614 Hull Dr
Haymarket, VA 20169-8182
Phone (301) 788-6277
Other providers in Gainesville, VA
- Yusur Al-Tekreeti
- Albert J Weaver MD
- Sonia Sara Alencherry
- Samantha Belle Alexander
- Anam Ali
- Michael Allard
- Michele Sellers Allard
- Kaila Allen
- Rebekah Grace Allred
- Sonya H Almond
All providers in Gainesville, VA · Marriage & Family Therapist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.