Provider Demographics
NPI:1144995135
Name:LIU, LIXIN (LGPC)
Entity type:Individual
Prefix:
First Name:LIXIN
Middle Name:
Last Name:LIU
Suffix:
Gender:F
Credentials:LGPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8630 FENTON ST STE 328
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-3816
Mailing Address - Country:US
Mailing Address - Phone:202-670-9686
Mailing Address - Fax:
Practice Address - Street 1:8630 FENTON ST STE 328
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-3816
Practice Address - Country:US
Practice Address - Phone:202-670-9686
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-11
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health