Provider Demographics
NPI:1285290148
Name:OULATTA, STEPHANIE BILE (MSW)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:BILE
Last Name:OULATTA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8721 PLANTATION LN STE 302
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20110-8324
Mailing Address - Country:US
Mailing Address - Phone:571-307-2324
Mailing Address - Fax:571-569-4480
Practice Address - Street 1:8721 PLANTATION LN STE 302
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-8324
Practice Address - Country:US
Practice Address - Phone:571-307-2324
Practice Address - Fax:571-569-4480
Is Sole Proprietor?:No
Enumeration Date:2019-05-16
Last Update Date:2024-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker