LAURA WAKEFIELD LPC
NPI 1902578990
Counselor - Mental Health in Fairfax, VA
Active since September 29, 2021
About Laura Wakefield Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAURA WAKEFIELD LPC (NPI 1902578990) is an individual mental health provider in Fairfax, Virginia, licensed in Virginia (0701012276) and active in the NPI registry since September 2021.
NPPES Registry Identity
NPI1902578990
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLAURA WAKEFIELDCredential: LPC
Location Address3930 WALNUT ST STE 250Fairfax, VA 22030-4750
Mailing Address11089 Saffold WayReston, VA 20190-3815 · (919) 410-0412
Phone(703) 782-3710
Sole ProprietorYes
Enumeration DateSeptember 29, 2021
Last NPPES UpdateOctober 25, 20233 updates tracked since enumeration
NPPES CertifiedOctober 25, 2023
✔ NPI 1902578990 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in VA · 0701012276
3930 WALNUT ST STE 250, Fairfax, VA 22030
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902578990, enumerated as an "individual" on September 29, 2021.
The provider is located at 3930 WALNUT ST STE 250 FAIRFAX, VA 22030 and the phone number is (703) 782-3710.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
