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NPI Code Detail

MEDICARE: SEQUOIA PSYCHOTHERAPY

MEDICARE: SEQUOIA PSYCHOTHERAPY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1770441321
Entity Type Code : Organization
Provider Name (Legal Business Name) : SEQUOIA PSYCHOTHERAPY
Provider Business Mailing Address
First Line : 3608 CRIOLLO DR
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23453-2221
Country : US
Telephone Number : 757-920-8527
Fax Number :
Provider Business Practice Location Address
First Line : 3608 CRIOLLO DR
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23453-2221
Country : US
Telephone Number : 757-920-8527
Fax Number :
Authorized Official
Title or Position : OWNER/LPC
Name : SOHEILA ALIZADEH
Credential :
Telephone Number : 757-920-8527
Provider Enumeration Date : 01/13/2026
Last Update Date : 01/13/2026

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Directions to “SEQUOIA PSYCHOTHERAPY ” Practice Location

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