Provider Demographics
NPI:1023432325
Name:RAHIMI, LILY (LMFT)
Entity type:Individual
Prefix:
First Name:LILY
Middle Name:
Last Name:RAHIMI
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:LILY
Other - Middle Name:
Other - Last Name:RAHIMI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:20730 VALLEY GREEN DR
Mailing Address - Street 2:
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-1704
Mailing Address - Country:US
Mailing Address - Phone:408-743-4000
Mailing Address - Fax:
Practice Address - Street 1:20730 VALLEY GREEN DR
Practice Address - Street 2:
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-1704
Practice Address - Country:US
Practice Address - Phone:408-783-4000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-07
Last Update Date:2020-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA77753106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist