Provider Demographics
NPI:1700649498
Name:TIRMIZI, AFIFA (LCASA)
Entity type:Individual
Prefix:
First Name:AFIFA
Middle Name:
Last Name:TIRMIZI
Suffix:
Gender:F
Credentials:LCASA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:739 BURGUSS RD
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-1209
Mailing Address - Country:US
Mailing Address - Phone:516-244-8252
Mailing Address - Fax:
Practice Address - Street 1:739 BURGUSS RD
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-1209
Practice Address - Country:US
Practice Address - Phone:516-244-8252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-05
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLCAS-A101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)