Provider Demographics
NPI:1487842498
Name:SOTIROPOULOS, MICHELLE (LPC)
Entity Type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:
Last Name:SOTIROPOULOS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:SHELI
Other - Middle Name:
Other - Last Name:SOTIROPOULOS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:1734 PIMMIT DR
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22043-1115
Mailing Address - Country:US
Mailing Address - Phone:703-598-2680
Mailing Address - Fax:
Practice Address - Street 1:1734 PIMMIT DR
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22043-1115
Practice Address - Country:US
Practice Address - Phone:703-598-2680
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-04
Last Update Date:2007-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701002985101YM0800X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical