Provider Demographics
NPI:1942486360
Name:MUHAMMAD, MARYAM Z (LCADC, LPCA)
Entity type:Individual
Prefix:
First Name:MARYAM
Middle Name:Z
Last Name:MUHAMMAD
Suffix:
Gender:F
Credentials:LCADC, LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 N 7TH ST STE 632
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202-2924
Mailing Address - Country:US
Mailing Address - Phone:502-224-6750
Mailing Address - Fax:
Practice Address - Street 1:101 N 7TH ST STE 632
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-2924
Practice Address - Country:US
Practice Address - Phone:502-790-0095
Practice Address - Fax:502-790-0105
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-16
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)