Provider Demographics
NPI:1629202908
Name:ISIP, MONIKA LEILA (ATR, LPC)
Entity Type:Individual
Prefix:MS
First Name:MONIKA
Middle Name:LEILA
Last Name:ISIP
Suffix:
Gender:F
Credentials:ATR, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5600 PENNY CT
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23464-6512
Mailing Address - Country:US
Mailing Address - Phone:757-729-2051
Mailing Address - Fax:
Practice Address - Street 1:5600 PENNY CT
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23464-6512
Practice Address - Country:US
Practice Address - Phone:757-729-2051
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-14
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701004604101YP2500X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional