Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northern Lights Psychotherapy

Organization Clinical Psychologist · NPI 1104450105

Northern Lights Psychotherapy is a Clinical Psychologist in Leesburg, Virginia. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

222 Catoctin Cir SE Ste 126
Leesburg, VA 20175-3730
Phone: (571) 477-1613
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X

Record details

NPI number1104450105
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sofia Graham — Clinical Psychologist/Owner · (571) 477-1613
NPI enumeratedFebruary 27, 2020
Last updated in NPPESFebruary 27, 2020
Certification dateFebruary 27, 2020
Mailing address24400 Moon Glade Ct, Aldie, VA 20105-3148

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