Healthcare Provider Details

I. General information

NPI: 1902374846
Provider Name (Legal Business Name): HEATHER MEGAN HABAQE LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/08/2018
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

170 PROSPERITY DR
WINCHESTER VA
22602-5356
US

IV. Provider business mailing address

9435 LORTON MARKET ST # 233
LORTON VA
22079-1963
US

V. Phone/Fax

Practice location:
  • Phone: 540-667-8888
  • Fax: 540-667-5663
Mailing address:
  • Phone: 703-489-4823
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701014988
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: