Healthcare Provider Details

I. General information

NPI: 1659791853
Provider Name (Legal Business Name): LENESE STEPHENS LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/27/2014
Last Update Date: 03/22/2026
Certification Date: 03/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4601 PRESIDENTS DR STE 135
LANHAM MD
20706-4894
US

IV. Provider business mailing address

4601 PRESIDENTS DR STE 135
LANHAM MD
20706-4894
US

V. Phone/Fax

Practice location:
  • Phone: 301-844-1752
  • Fax: 240-266-6214
Mailing address:
  • Phone: 301-844-1752
  • Fax: 240-266-6214

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLC6516
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: