Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Heidar A. Modaresi, PHD

Individual provider Mental Health Counselor · NPI 1619920980

Dr. Heidar A. Modaresi, PHD is a Mental Health Counselor in Rock Hill, South Carolina. Practices as a sole proprietor. Licensed in North Carolina and South Carolina.

Licensed in
NC, SC
In the registry since
2006
Specialties on file
8
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

3060 Wimbledon Ln
Rock Hill, SC 29732-9249
Phone: (803) 366-9791
Fax: (803) 753-9522
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 0575 (SC)
Mental Health Counselor Taxonomy 101YM0800X · Licence 1973 (NC)
Mental Health Counselor Taxonomy 101YM0800X · Licence 0575 (SC)
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X · Licence 0575 (SC)
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X · Licence 1973 (NC)
Clinical Psychologist Taxonomy 103TC0700X · Licence 1973 (NC)
Psychologist Taxonomy 103T00000X · Licence 0575 (SC)
Psychologist Taxonomy 103T00000X · Licence 1973 (NC)

Record details

NPI number1619920980
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedMay 18, 2006
Last updated in NPPESSeptember 2, 2010

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