Provider Demographics
NPI:1033762067
Name:YANNI, AMIRA (LPC)
Entity type:Individual
Prefix:
First Name:AMIRA
Middle Name:
Last Name:YANNI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9812 FALLS RD # 114-298
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-3976
Mailing Address - Country:US
Mailing Address - Phone:240-972-7492
Mailing Address - Fax:
Practice Address - Street 1:9812 FALLS RD # 114-298
Practice Address - Street 2:
Practice Address - City:POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20854-3976
Practice Address - Country:US
Practice Address - Phone:240-972-7492
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-18
Last Update Date:2024-12-03
Deactivation Date:2021-09-23
Deactivation Code:
Reactivation Date:2021-10-15
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor