Healthcare Provider Details

I. General information

NPI: 1033042486
Provider Name (Legal Business Name): DOROTHY J MEBANE LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4414 5TH ST NW
WASHINGTON DC
20011-4723
US

IV. Provider business mailing address

18499 PERDIDO BAY TER
LEESBURG VA
20176-7401
US

V. Phone/Fax

Practice location:
  • Phone: 202-978-5024
  • Fax:
Mailing address:
  • Phone: 919-218-3285
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPRC200002208
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: