Provider Demographics
NPI:1689471229
Name:BANI-HANI, MARWAH (MS)
Entity type:Individual
Prefix:
First Name:MARWAH
Middle Name:
Last Name:BANI-HANI
Suffix:
Gender:
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3915 BLENHEIM BLVD STE 23A
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-2432
Mailing Address - Country:US
Mailing Address - Phone:703-259-5617
Mailing Address - Fax:703-552-2037
Practice Address - Street 1:3915 BLENHEIM BLVD STE 23A
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-2432
Practice Address - Country:US
Practice Address - Phone:703-259-5617
Practice Address - Fax:703-552-2037
Is Sole Proprietor?:No
Enumeration Date:2025-03-01
Last Update Date:2025-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health