Provider Demographics
NPI:1558726919
Name:PINNA, NOOR (LMHC)
Entity type:Individual
Prefix:
First Name:NOOR
Middle Name:
Last Name:PINNA
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:NOOR
Other - Middle Name:
Other - Last Name:FATIMA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:2301 S VALLEY VIEW BLVD APT I08
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-3942
Mailing Address - Country:US
Mailing Address - Phone:845-418-0029
Mailing Address - Fax:
Practice Address - Street 1:2301 S VALLEY VIEW BLVD APT I08
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-3942
Practice Address - Country:US
Practice Address - Phone:845-418-0029
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-29
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006556101YM0800X
CA11736101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health