Doctor Name: | AMY E. ILIFFE |
NPI Number: | 1790887289 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, M.ED. |
License Number: | |
Business Practice Address: | 102 Heritage Way Ne Suite 302 Leesburg, VA - 201764544 |
Business Phone Number: | 7037715100 |
Business Fax Number: | 7037770170 |
Mailing Address: | 17278 Strathallen Ct, PURCELLVILLE |
State: | VA |
Postal Code: | 201323157 |
Phone Number: | 5407511762 |
Fax Number: | |
NPI Enumeration Date: | 09/04/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |