Provider Demographics
NPI:1902559149
Name:SALMA ABUGIDEIRI LPC LLC
Entity Type:Organization
Organization Name:SALMA ABUGIDEIRI LPC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SALMA
Authorized Official - Middle Name:E
Authorized Official - Last Name:ABUGIDEIRI
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:703-435-8667
Mailing Address - Street 1:43656 PIERPOINT TER
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176-8405
Mailing Address - Country:US
Mailing Address - Phone:703-340-4510
Mailing Address - Fax:
Practice Address - Street 1:1364 BEVERLY RD STE 303
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-3644
Practice Address - Country:US
Practice Address - Phone:703-435-8667
Practice Address - Fax:571-758-4182
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SALMA ABUGIDEIRI LPC LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-01-28
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty