Provider Demographics
NPI:1083253389
Name:HEIDI FRIEDMAN, MA, LPC, LMFT
Entity Type:Organization
Organization Name:HEIDI FRIEDMAN, MA, LPC, LMFT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:
Authorized Official - Last Name:FRIEDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LPC
Authorized Official - Phone:703-586-3597
Mailing Address - Street 1:6312 ADIRONDACK CT
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20155-6630
Mailing Address - Country:US
Mailing Address - Phone:703-586-3597
Mailing Address - Fax:
Practice Address - Street 1:8140 ASHTON AVE STE 100
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20109-5699
Practice Address - Country:US
Practice Address - Phone:703-586-3597
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-03
Last Update Date:2020-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health