Provider Demographics
NPI:1154201184
Name:MANALASTAS, KARINA MIRA (LPC-R, ATR-P)
Entity type:Individual
Prefix:
First Name:KARINA
Middle Name:MIRA
Last Name:MANALASTAS
Suffix:
Gender:F
Credentials:LPC-R, ATR-P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 N COLUMBUS ST STE 201
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-2264
Mailing Address - Country:US
Mailing Address - Phone:571-560-2008
Mailing Address - Fax:571-560-2009
Practice Address - Street 1:400 N COLUMBUS ST STE 201
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-2264
Practice Address - Country:US
Practice Address - Phone:571-560-2008
Practice Address - Fax:571-560-2009
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-02
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health