Provider Demographics
NPI:1053430215
Name:NIAZI, FARIHA MUJTABA (LMFT, LMHC)
Entity type:Individual
Prefix:MISS
First Name:FARIHA
Middle Name:MUJTABA
Last Name:NIAZI
Suffix:
Gender:F
Credentials:LMFT, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6101 PALM TRACE LANDINGS DR APT 309
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33314-1873
Mailing Address - Country:US
Mailing Address - Phone:954-587-5902
Mailing Address - Fax:
Practice Address - Street 1:2301 W SAMPLE RD
Practice Address - Street 2:BUILDING 03 SUITE 4A
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33073-3081
Practice Address - Country:US
Practice Address - Phone:954-977-9775
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist