Provider Demographics
NPI:1891161618
Name:WHITE, NABILA SADIQUA (LPC)
Entity Type:Individual
Prefix:
First Name:NABILA
Middle Name:SADIQUA
Last Name:WHITE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7113
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-0113
Mailing Address - Country:US
Mailing Address - Phone:757-763-7144
Mailing Address - Fax:757-262-2070
Practice Address - Street 1:2021B CUNNINGHAM DR STE 2
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-3326
Practice Address - Country:US
Practice Address - Phone:757-763-7144
Practice Address - Fax:757-262-2070
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-16
Last Update Date:2015-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health