Provider Demographics
NPI:1265329718
Name:HAKIMI, NELEY
Entity type:Individual
Prefix:
First Name:NELEY
Middle Name:
Last Name:HAKIMI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 SUNNYDALE LN
Mailing Address - Street 2:
Mailing Address - City:RSM
Mailing Address - State:CA
Mailing Address - Zip Code:92688-5569
Mailing Address - Country:US
Mailing Address - Phone:909-957-4392
Mailing Address - Fax:
Practice Address - Street 1:23121 VERDUGO DR STE 105
Practice Address - Street 2:
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-1339
Practice Address - Country:US
Practice Address - Phone:949-520-2720
Practice Address - Fax:949-625-7677
Is Sole Proprietor?:No
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAMFT142886101YM0800X
NJ37FA00026200101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health