Individual
MS. RAHILA AMJAD BASHIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
4650 LIPSCOMB ST NE STE 10, PALM BAY, FL 32905-2997
(321) 720-1709
(321) 720-1709
Mailing address
1338 PORT MALABAR BLVD NE, 10, PALM BAY, FL 32905-5259
(321) 720-1709
(321) 733-1860
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MH7753
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366483067
NPI
FL
Enumeration date
06/10/2006
Last updated
07/21/2022
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