Provider Demographics
NPI:1013059328
Name:PURIHELLA, SUDHA RANI (LPC)
Entity Type:Individual
Prefix:MRS
First Name:SUDHA
Middle Name:RANI
Last Name:PURIHELLA
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 1:2531 SWIFT RUN ST
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22180-6930
Mailing Address - Country:US
Mailing Address - Phone:703-349-2772
Mailing Address - Fax:
Practice Address - Street 1:1717 K ST NW STE 600
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-5346
Practice Address - Country:US
Practice Address - Phone:703-349-2772
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPRC661101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional