Healthcare Provider Details

I. General information

NPI: 1174022297
Provider Name (Legal Business Name): RHONDA MARIE STALB LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/04/2018
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 N GLEBE RD FL 5
ARLINGTON VA
22203-1853
US

IV. Provider business mailing address

800 WEEPING WILLOW DR APT H
LYNCHBURG VA
24501-4054
US

V. Phone/Fax

Practice location:
  • Phone: 323-205-7088
  • Fax: 833-419-0181
Mailing address:
  • Phone: 256-604-7016
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number1857
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number0717002710
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberL478
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: