Provider Demographics
NPI:1952870586
Name:FITZHUGH, SONI NADINE (LCPC)
Entity Type:Individual
Prefix:MS
First Name:SONI
Middle Name:NADINE
Last Name:FITZHUGH
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13605 ROBEY RD APT 206
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-4935
Mailing Address - Country:US
Mailing Address - Phone:301-704-1308
Mailing Address - Fax:
Practice Address - Street 1:801 WAYNE AVE STE 204
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-4450
Practice Address - Country:US
Practice Address - Phone:301-804-3055
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-13
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP9170101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health