Healthcare Provider Details

I. General information

NPI: 1952238024
Provider Name (Legal Business Name): LEINA LUNGHI LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

9409 TALISMAN DR
VIENNA VA
22182-3462
US

IV. Provider business mailing address

9409 TALISMAN DR
VIENNA VA
22182-3462
US

V. Phone/Fax

Practice location:
  • Phone: 850-797-9646
  • Fax:
Mailing address:
  • Phone: 850-797-9646
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0701012137
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: