Healthcare Provider Details

I. General information

NPI: 1134013386
Provider Name (Legal Business Name): SANA MARIA SOUFI LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2025
Last Update Date: 06/04/2025
Certification Date: 06/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7260 TULLYMORE DR
DUBLIN OH
43016-8404
US

IV. Provider business mailing address

7260 TULLYMORE DR
DUBLIN OH
43016-8404
US

V. Phone/Fax

Practice location:
  • Phone: 614-668-0977
  • Fax:
Mailing address:
  • Phone: 614-668-0977
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC.2507031
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: