Provider Demographics
NPI:1235883836
Name:VALINIA, FARBOD (LCPC)
Entity type:Individual
Prefix:MR
First Name:FARBOD
Middle Name:
Last Name:VALINIA
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6130 W FLAMINGO RD # 635
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89103-2280
Mailing Address - Country:US
Mailing Address - Phone:702-250-6867
Mailing Address - Fax:
Practice Address - Street 1:3120 S RAINBOW BLVD STE 201
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-6235
Practice Address - Country:US
Practice Address - Phone:702-612-5566
Practice Address - Fax:702-793-2901
Is Sole Proprietor?:No
Enumeration Date:2022-02-11
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVCP5685101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health