MEDICARE: MRS. SIERRA RICKIE STEVENS LPC

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
1	101YM0800X	Mental Health Counselor	0701016059	VA

General Provider Information

NPI Number	:	1851221097
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SIERRA RICKIE STEVENS LPC

Provider Business Mailing Address
First Line	:	16113 CEDARWOOD TREE CT
Second Line	:
City	:	CHESTERFIELD
State	:	VA
Zip	:	23832-2173
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	16113 CEDARWOOD TREE CT
Second Line	:
City	:	CHESTERFIELD
State	:	VA
Zip	:	23832-2173
Country	:	US
Telephone Number	:	804-908-1737
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2026
Last Update Date	:	05/20/2026

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