LIZBETH SAM


Address: 19790 Ashburn Rd, Ashburn, VA 20147-5636
Phone: 7038293752

LIZBETH SAM (NPI# 1700191046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700191046
Entity Type Individual
Full Name LIZBETH SAM
Credential LPC
Practice Address 19790 Ashburn Rd
Ashburn
VA 20147-5636
Mailing Address 20755 Red Cedar Dr
Leesburg
VA 20175-8787
Practice Telephone 7038293752
Practice Fax Number 7032291018
Mailing Telephone 7032291018
Enumeration Date 2010-08-11
Last Update Date 2010-09-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YP2500X Counselor
Specialization: Professional
LC2261 MD Behavioral Health & Social Service Providers
Y 101YP2500X Counselor
Specialization: Professional
0701004060 VA Behavioral Health & Social Service Providers

Office Location

Street Address 19790 ASHBURN RD
City ASHBURN
State VA
Zip Code 20147-5636

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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558845461 Testudo Recovery Inc Counselor 43330 Junction Plz Ste 114, Ashburn, VA 20147-3407 2018-09-18
1932690682 Ashley Camille Peterson Counselor 20130 Lakeview Center Plz Ste 400, Ashburn, VA 20147-5905 2018-05-29
1851827141 Kimberly Francis Counselor 43870 Laburnum Sq, Ashburn, VA 20147-5447 2017-05-04
1235530965 Joanne W Thornton Counselor 42654 Frontier Dr, Ashburn, VA 20148-7207 2014-09-12
1790186096 Melissa Katherine Yee Counselor 44081 Pipeline Plz Ste 225, Ashburn, VA 20147-5891 2014-09-06
1124460779 Ann Marie Barrett Counselor 22810 Ferncrest Ter, Ashburn, VA 20148-6419 2013-07-24
1669721718 John Francis Fletcher Jr. Counselor 44081 Pipeline Plaza #320, Ashburn, VA 20147 2012-09-05
1457622912 Jennifer Chapman Chalon Counselor 1087 Pineknot Rd, Ashburn, GA 31714-3405 2012-01-15
1174621551 Mersedeh Alexus-rezainik Cartwright Counselor 44075 Pipeline Plz Ste 220, Ashburn, VA 20147-5890 2006-09-20
1780154252 Embracing Change, LLC Counselor 44075 Pipeline Plz Ste 220, Ashburn, VA 20147-5890 2018-11-27
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Competitor

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City ASHBURN
Zip Code 20147

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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