Provider Demographics
NPI:1952724882
Name:PATEL, SONAL MAHENDRA (LPC)
Entity type:Individual
Prefix:
First Name:SONAL
Middle Name:MAHENDRA
Last Name:PATEL
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 1:5500 HOLMES RUN PKWY
Mailing Address - Street 2:#1011
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22304-2863
Mailing Address - Country:US
Mailing Address - Phone:571-263-7144
Mailing Address - Fax:
Practice Address - Street 1:8626 LEE HWY
Practice Address - Street 2:STE #200
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-2135
Practice Address - Country:US
Practice Address - Phone:703-560-2600
Practice Address - Fax:703-560-2622
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-29
Last Update Date:2014-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701005462101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health