Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MOHAMMAD MEHDI MOMTAHAN, PH.D.
ActiveDR. MOHAMMAD MEHDI MOMTAHAN, PH.D. is a Professional Counselor healthcare provider located in DALLAS, Georgia. NPI 1225271422 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · DALLAS, GA
Registration Details
- NPI Number
- 1225271422
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 17, 2009 (17.308118919137 yrs)
- Last Updated
- Jan 5, 2015
- Licenses
-
NCC 210724 (GA)C0040 (GA)MAC 12619 (IN)ICAADC 202225 (GA)CCODP-D 0004 (GA)
Practice Information
- Address
-
59 HILLSIDE TRACESUITE 113DALLAS, GA, 301573315Browse GA providers · Browse ZIP 30157
- Phone
- 7704431644
- Fax
- 7704431633
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Other Professional Counselor Providers in DALLAS, GA
| Name | Credential | NPI |
|---|---|---|
| ROBIN ROMICK | LPC | 1750492880 |
| MR. JOSEPH BAISDEN MICKLER III | LPC | 1033269964 |
| IDA R. FRECH | LPC, CAC II | 1447302781 |
| MS. LINDA HUDSON KIMBROUGH | MS, LPC | 1720132483 |
| DEBORA M MCCORMICK | MS, NCC, LPC | 1932254901 |
| MRS. MARY BLAYDES ALEXANDER | L.P.C. | 1225162555 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.