Healthcare Provider Details

I. General information

NPI: 1154286219
Provider Name (Legal Business Name): SOPHIE JUOLA LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/22/2025
Last Update Date: 12/22/2025
Certification Date: 12/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20755 WILLIAMSPORT PL STE 390
ASHBURN VA
20147-6523
US

IV. Provider business mailing address

20755 WILLIAMSPORT PL STE 390
ASHBURN VA
20147-6523
US

V. Phone/Fax

Practice location:
  • Phone: 703-662-1247
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: