Provider Demographics
NPI:1184715138
Name:LIAPPIS, NICHOLAS B (LPC)
Entity type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:B
Last Name:LIAPPIS
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6888 ELM ST STE 102
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-3829
Mailing Address - Country:US
Mailing Address - Phone:703-705-2478
Mailing Address - Fax:
Practice Address - Street 1:6888 ELM ST STE 102
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-3829
Practice Address - Country:US
Practice Address - Phone:703-705-2478
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2023-12-29
Deactivation Date:2020-01-13
Deactivation Code:
Reactivation Date:2020-01-17
Provider Licenses
StateLicense IDTaxonomies
VA0701003748101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional