LEILA KANDAHARI (NPI# 1720548738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720548738 |
| Entity Type | Individual |
| Full Name | LEILA KANDAHARI |
| Practice Address |
4001 Prince William Pkwy Ste 300 Woodbridge VA 22192-7667 |
| Practice Telephone | 7032145825 |
| Mailing Telephone | 7032145825 |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2019-05-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
0710103335 | VA | Behavioral Health & Social Service Providers |
| Street Address |
4001 PRINCE WILLIAM PKWY STE 300 |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22192-7667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922576099 | Paula Dorman | Social Worker | 4001 Prince William Pkwy Ste 300, Woodbridge, VA 22192-7667 | 2018-11-07 |
| 1245791029 | Gavin Meeks O'brien | Counselor | 4001 Prince William Pkwy Ste 300, Woodbridge, VA 22192-7667 | 2019-03-26 |
| 1548739170 | Savida Health, PC | Psychiatry & Neurology | 4001 Prince William Pkwy Ste 300, Woodbridge, VA 22192-7667 | 2018-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245873645 | Ursula Jackson | Technician | 3500 Commission Ct, Woodbridge, VA 22192 | 2019-10-18 |
| 1205480779 | Ki Soo Park | Physical Therapy Assistant | 12825 Minnieville Road Suite 201, Lake Ridge, VA 22192 | 2019-08-01 |
| 1801448329 | Karen Lee Trivett | Specialist/Technologist, Other | 12584 Darby Brook Court, Woodbridge, VA 22192 | 2019-07-15 |
| 1407313166 | Nichele Amelia Thompson | Behavioral Analyst | 2731 Marblestone Dr, 101, Woodbridge, VA 22192 | 2019-02-28 |
| 1952877870 | Kimberly Ann Rojas Vazquez | Behavioral Analyst | 12531 Clipper Dr, Suite 203, Woodbridge, VA 22192 | 2018-10-18 |
| 1104391614 | Ykim Dental | Dentist | 2680 Optiz Blvd., Suite 120, Woodbridge, VA 22192 | 2018-10-11 |
| 1013418755 | Arm Transport | Non-emergency Medical Transport (VAN) | 13000 Harbor Center Dr Ste 132d, Woodbridge, VA 22192 | 2018-02-27 |
| 1811496813 | Francesca Nasi | Behavioral Analyst | 12531 Clipper Dr Ste 203, Woodbridge, VA 22192 | 2018-02-05 |
| 1942729504 | Bismark Transportation Service LLC | Non-emergency Medical Transport (VAN) | 12341 Woodlawn Court, Woodbridge, VA 22192 | 2017-09-14 |
| 1992226344 | Arm Baby Eldery Home Health LLC | Home Health | 13000 Harbor Center Dr # 312c, Woodbridge, VA 22192 | 2017-07-06 |
| Find all providers in zip 22192 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961441 | Savanna Martin | Counselor | 15105 Knickerbocker Dr, Woodbridge, VA 22193-1880 | 2020-10-29 |
| 1780119503 | Judith Watiti | Counselor | 16040 Hayes Ln, Woodbridge, VA 22191-4537 | 2017-04-30 |
| 1710342845 | Sarah Maxfield | Counselor | 2013 Princess Ct, Woodbridge, NJ 07095-3800 | 2015-12-16 |
| 1427421627 | Woodbridge Therapy Group LLC | Counselor | 12721 Darby Brooke Ct., Suite 102, Woodbridge, VA 22193 | 2015-11-10 |
| 1841680345 | Sandra Lutomski | Counselor | 528 Rahway Ave, Suite 202, Woodbridge, NJ 07095-3417 | 2015-02-04 |
| 1306262894 | Challenge To Change Counseling Services LLC | Counselor | 30 Hazel Ter Ste 11c, Woodbridge, CT 06525-2240 | 2014-03-09 |
| 1043567837 | My Father My Son Rehabilitation and Counseling Center LLC | Counselor | 264 Amity Rd Ste 104, Woodbridge, CT 06525-2200 | 2012-08-10 |
| 1962576785 | Jeannine Reese Cosentino | Counselor | 12890 Harbor Drive, Woodbridge, VA 22192 | 2006-11-20 |
| 1205929577 | June Rodriguez | Counselor | 30 Hazel Terrace, Suite C, Woodbridge, CT 06525 | 2006-10-01 |
| 1528090016 | Lottie Grace Olson-davidson | Counselor | 2875 Chevoit Hill Ct, Woodbridge, VA 22191-5117 | 2006-07-07 |
| Find all providers in WOODBRIDGE | ||||
| City | WOODBRIDGE |
| Zip Code | 22192 |
Please comment or provide details below to improve the information on LEILA KANDAHARI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.