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DR. MOHAMMAD MEHDI MOMTAHAN PH.D.
NPI 1225271422
Counselor - Professional in Dallas, GA

Active since April 17, 2009
59 HILLSIDE TRACE, SUITE 113, DALLAS, GA 30157(770) 443-1644(770) 443-1633 Get Directions Write a Review

NPPES record last updated: January 5, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Mohammad Mehdi Momtahan Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MOHAMMAD MEHDI MOMTAHAN PH.D. (NPI 1225271422) is an individual professional provider in Dallas, Georgia, licensed in Georgia (LPC004345) and active in the NPI registry since April 2009.

NPPES Registry Identity

NPI1225271422
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDR. MOHAMMAD MEHDI MOMTAHANCredential: PH.D.
Location Address59 HILLSIDE TRACE, SUITE 113Dallas, GA 30157-3315
Mailing Address59 Hillside Trce, Suite 113Dallas, GA 30157-9476 · (770) 443-1644 · Fax (770) 443-1633
Phone(770) 443-1644
Fax(770) 443-1633
Sole ProprietorNo
Enumeration DateApril 17, 2009
Last NPPES UpdateJanuary 5, 2015
✔ NPI 1225271422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · LPC004345
Also ListedCounselorTaxonomy 101Y00000X · License NCC 210724 (GA)
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License C0040 (GA), MAC 12619 (IN), ICAADC 202225 (GA), CCODP-D 0004 (GA)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License ACS 00557 (GA)
Also ListedSpecialistTaxonomy 174400000X · License CFAS 12619 (IN), BDFC 12619 (IN)
59 HILLSIDE TRACE, Dallas, GA 30157
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mohammad Momtahan's NPI number?

The NPI number for Mohammad Momtahan is 1225271422. It was assigned to this individual provider in the NPPES registry on April 17, 2009.

Where is Mohammad Momtahan located?

Mohammad Momtahan practices at 59 Hillside Trace Suite 113, Dallas, GA 30157. The listed phone number is (770) 443-1644.

What is Mohammad Momtahan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Mohammad Momtahan was last updated on January 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.