Basic Information
| Provider Information | |||||||||
| NPI: | 1881216349 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ABULAILA | ||||||||
| FirstName: | SAFIA | ||||||||
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| Credential: | LPC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6024 TIMBER HOLLOW LN | ||||||||
| Address2: | |||||||||
| City: | SPRINGFIELD | ||||||||
| State: | VA | ||||||||
| PostalCode: | 221521432 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9084618569 | ||||||||
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| Practice Location | |||||||||
| Address1: | 8221 WILLOW OAKS CORPORATE DR STE 4-430 | ||||||||
| Address2: | |||||||||
| City: | FAIRFAX | ||||||||
| State: | VA | ||||||||
| PostalCode: | 220314512 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7032897560 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/07/2020 | ||||||||
| LastUpdateDate: | 05/07/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/07/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | 0701009029 | VA | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.