Healthcare Provider Details

I. General information

NPI: 1730083247
Provider Name (Legal Business Name): ABBIE WOLF LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

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

10530 LINDEN LAKE PLZ STE 200
MANASSAS VA
20109-6434
US

IV. Provider business mailing address

8102 WINTER BLUE CT
SPRINGFIELD VA
22153-2521
US

V. Phone/Fax

Practice location:
  • Phone: 703-496-7804
  • Fax: 571-359-6784
Mailing address:
  • Phone: 703-496-7804
  • Fax: 571-359-6784

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0701016819
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: