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NPI Code Detail

MEDICARE: LISA ATKINS LPC-R

MEDICARE: LISA ATKINS LPC-R
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor0704016585VA

General Provider Information

NPI Number : 1508664350
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA ATKINS LPC-R
Provider Business Mailing Address
First Line : 21351 GENTRY DR STE 200
Second Line :
City : STERLING
State : VA
Zip : 20166-8512
Country : US
Telephone Number : 703-493-0891
Fax Number :
Provider Business Practice Location Address
First Line : 21351 GENTRY DR STE 200
Second Line :
City : STERLING
State : VA
Zip : 20166-8512
Country : US
Telephone Number : 703-493-0891
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2025
Last Update Date : 01/05/2026

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Directions to “ LISA ATKINS LPC-R” Practice Location

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