Healthcare Provider Details

I. General information

NPI: 1265336085
Provider Name (Legal Business Name): THEIA COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7620 GEORGETOWN PIKE
MC LEAN VA
22102-1412
US

IV. Provider business mailing address

7620 GEORGETOWN PIKE
MC LEAN VA
22102-1412
US

V. Phone/Fax

Practice location:
  • Phone: 571-275-1332
  • Fax:
Mailing address:
  • Phone: 571-275-1332
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. AREZOO HOPE SAADAT
Title or Position: LICENSED PROFESSIONAL COUNSELOR
Credential: LPC
Phone: 571-275-1332