Provider Demographics
NPI:1114733011
Name:NIVALIS COUNSELILNG PLLC
Entity type:Organization
Organization Name:NIVALIS COUNSELILNG PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:IOANA
Authorized Official - Middle Name:
Authorized Official - Last Name:MONTEL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:703-755-0831
Mailing Address - Street 1:3417 LYRAC ST
Mailing Address - Street 2:
Mailing Address - City:OAKTON
Mailing Address - State:VA
Mailing Address - Zip Code:22124-2214
Mailing Address - Country:US
Mailing Address - Phone:703-755-0831
Mailing Address - Fax:
Practice Address - Street 1:450 MAPLE AVE E STE 303D
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22180-4743
Practice Address - Country:US
Practice Address - Phone:703-755-0831
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-05
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty