Healthcare Provider Details

I. General information

NPI: 1588525380
Provider Name (Legal Business Name): GIOIA CONNELL CHILTON PH.D., ATR-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/20/2025
Last Update Date: 11/20/2025
Certification Date: 11/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5980 9TH STREET FORT BELVOIR, VA
APO AA
22060
US

IV. Provider business mailing address

5980 9TH STREET FORT BELVOIR, VA
APO AA
22060
US

V. Phone/Fax

Practice location:
  • Phone: 571-231-1210
  • Fax:
Mailing address:
  • Phone: 571-231-1210
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: