Ghoreyshi, Azin
Ghoreyshi, Azin is an sole proprietor health care provider with primary practice located at 1025 Pebble Beach Dr , Mansfield TX 76063-2644. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Ghoreyshi, Azin can be contacted via phone (817) 891-4809.Contact Information
Primary practice address
1025 Pebble Beach Dr
Mansfield TX 76063-2644
Phone: (817) 891-4809
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1780290411 |
|---|---|
| LBN Legal business name | Ghoreyshi, Azin |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 17th, 2020 |
| Last updated | May 11th, 2026 - about 6 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780290411 | NPPES |
| Oregon | MEDICAID | OK301K2S |
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