MS. RAHILA AMJAD BASHIR (NPI# 1366483067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366483067 |
| Entity Type | Individual |
| Full Name | MS. RAHILA AMJAD BASHIR |
| Other Name | MS. RAHILA BASHIR |
| Credential | LMHC |
| Practice Address |
4650 Lipscomb St Ne Ste 10 Palm Bay FL 32905-2997 |
| Mailing Address |
1338 Port Malabar Blvd Ne 10 Palm Bay FL 32905-5259 |
| Practice Telephone | 3217201709 |
| Practice Fax Number | 3217201709 |
| Mailing Telephone | (321) 720-1709 |
| Mailing Fax Number | 3217331860 |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | MH7753 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | NPI | 1366483067 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1545 9th St Sw, Vero Beach, FL 329624312 | 7722578224 | 7725711602 |
| Street Address |
4650 LIPSCOMB ST NE STE 10 |
| City | PALM BAY |
| State | FL |
| Zip Code | 32905-2997 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306460928 | Lavell Woodard Jr. | Counselor | 4206 Pinewood Dr Ne, Palm Bay, FL 32905 | 2020-05-29 |
| 1548735699 | Aaron J Milton | Counselor | 1420 Sportsman Lane Ne, Palm Bay, FL 32905 | 2018-10-04 |
| 1871070417 | The Brevard Health Alliance Inc | Clinic/Center | 1361 Florida Ave Ne Ste 2, Palm Bay, FL 32905 | 2018-07-26 |
| 1699266361 | Coastal Visioncare LLC | Optometrist | 2186 Harris Ave Ne Ste 1, Palm Bay, FL 32905 | 2018-05-29 |
| 1184173981 | Jean Elyse Gautreaux | Social Worker | 2475 Palm Bay Rd Ne, Suite 130 #4, Palm Bay, FL 32905 | 2016-09-22 |
| 1174901607 | Reginald Shannon Seecharan | Developmental Therapist | 700 James Cir Ne, Palm Bay, FL 32905 | 2015-05-17 |
| 1881091254 | Courtney Taft | Physical Therapy Assistant | 1155 Malabar Road, Suite 1, Palm Bay, FL 32905 | 2014-12-01 |
| 1548513310 | Juda Marie Decara | Counselor | 4690 Lipscomb St Se, Suite 6c, Palm Bay, FL 32905 | 2012-10-18 |
| 1326308313 | Mohammad Idrees Md, P.a. | Internal Medicine | 1454 Belaire Lane N.e., Palm Bay, FL 32905 | 2012-05-23 |
| 1265704548 | Atm Amin Dds LLC | Dentist | 4620 Lipscomb St Ne, Suite 2, Palm Bay, FL 32905 | 2012-02-02 |
| Find all providers in zip 32905 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528531076 | Al-quiyamah Ghafur Faiz | Counselor | 1606 Sawgrass Dr Sw, Palm Bay, FL 32908-1126 | 2019-01-08 |
| 1942799176 | Kailey Earle | Counselor | 1412 Talavera St Se, Palm Bay, FL 32909-5411 | 2018-05-03 |
| 1356839526 | Behavioral Educational Services, Inc. | Counselor | 1975 Palm Bay Rd Ne Ste 104, Palm Bay, FL 32905-2972 | 2018-04-24 |
| 1265946461 | Shayla Abbigail Felicien | Counselor | 154 San Filippo Dr Se, Palm Bay, FL 32909-5113 | 2017-11-27 |
| 1497201404 | Graciela Lodeiro | Counselor | 6400 Woodlake Dr Ne Apt 202, Palm Bay, FL 32905-6175 | 2016-08-30 |
| 1073969192 | Paul Halpern | Counselor | 330 Del Rey St Ne, Palm Bay, FL 32907-3055 | 2016-05-07 |
| 1649674441 | Andria Edries Wilson Thompson | Counselor | 1810 Bashaw St Nw, Palm Bay, FL 32907-9446 | 2014-10-22 |
| 1548513310 | Juda Marie Decara | Counselor | 4690 Lipscomb St Se, Suite 6c, Palm Bay, FL 32905 | 2012-10-18 |
| 1922371541 | Donita Jean Main | Counselor | 3091 Indian River Dr Ne, Palm Bay, FL 32905-4359 | 2012-02-13 |
| 1750681573 | Isabel Dopson | Counselor | 217 Brandy Creek Cir Se, Palm Bay, FL 32909-2333 | 2010-10-26 |
| Find all providers in PALM BAY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.