Provider Demographics
NPI:1265695050
Name:LANKFORD, SANA AYUB (LPC)
Entity type:Individual
Prefix:
First Name:SANA
Middle Name:AYUB
Last Name:LANKFORD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:SANA
Other - Middle Name:FARHEEN
Other - Last Name:AYUB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPA
Mailing Address - Street 1:8350 RICHMOND HWY STE 515
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22309-2345
Mailing Address - Country:US
Mailing Address - Phone:703-704-6355
Mailing Address - Fax:
Practice Address - Street 1:8350 RICHMOND HWY STE 515
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22309-2345
Practice Address - Country:US
Practice Address - Phone:703-704-6355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-02
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701005534101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6107571Medicaid