Healthcare Provider Details

I. General information

NPI: 1720982085
Provider Name (Legal Business Name): PARNIA SAMIMI DARZIKOLAIE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14658 GAP WAY UNIT 74
HAYMARKET VA
20168-8405
US

IV. Provider business mailing address

14658 GAP WAY UNIT 74
HAYMARKET VA
20168-8405
US

V. Phone/Fax

Practice location:
  • Phone: 703-380-7584
  • Fax:
Mailing address:
  • Phone: 703-380-7584
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701016905
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: