Provider Demographics
NPI:1851128078
Name:COLIC YIANNAKOU, SLAVKA (NBC-HWC)
Entity type:Individual
Prefix:
First Name:SLAVKA
Middle Name:
Last Name:COLIC YIANNAKOU
Suffix:
Gender:F
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 N HARRISON ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22205-3056
Mailing Address - Country:US
Mailing Address - Phone:703-217-5180
Mailing Address - Fax:
Practice Address - Street 1:1900 N HARRISON ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22205-3056
Practice Address - Country:US
Practice Address - Phone:703-217-5180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-19
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAA-3888543171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach