Healthcare Provider Details

I. General information

NPI: 1144374125
Provider Name (Legal Business Name): LESLIE M. EVERS RN, C.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 S WASHINGTON ST
ALEXANDRIA VA
22314-3629
US

IV. Provider business mailing address

401 S WASHINGTON ST
ALEXANDRIA VA
22314-3629
US

V. Phone/Fax

Practice location:
  • Phone: 703-549-3881
  • Fax: 703-549-2427
Mailing address:
  • Phone: 703-549-3881
  • Fax: 703-549-2427

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number0001104126
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License Number0001104126
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number0001104126
License Number StateVA
# 4
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number0001104126
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: