Provider Demographics
NPI:1215517156
Name:GIVPOUR, SAHAR (LPC, NCC, CSAC, ADS)
Entity type:Individual
Prefix:MS
First Name:SAHAR
Middle Name:
Last Name:GIVPOUR
Suffix:
Gender:F
Credentials:LPC, NCC, CSAC, ADS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21029 VERLAINE CT
Mailing Address - Street 2:
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20147-4738
Mailing Address - Country:US
Mailing Address - Phone:571-831-0999
Mailing Address - Fax:571-291-4270
Practice Address - Street 1:2 CARDINAL PARK DR SE STE 105A
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20175-4448
Practice Address - Country:US
Practice Address - Phone:571-831-0999
Practice Address - Fax:571-291-4270
Is Sole Proprietor?:No
Enumeration Date:2021-04-14
Last Update Date:2022-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701010285101Y00000X, 101YM0800X
VA0710101967101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)