Healthcare Provider Details
I. General information
NPI: 1003481128
Provider Name (Legal Business Name): RACHEL LAMAR LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/21/2021
Last Update Date: 05/13/2025
Certification Date: 05/13/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
200 N GLEBE RD STE 104
ARLINGTON VA
22203-3755
US
IV. Provider business mailing address
17932 FRALEY BLVD STE 205
DUMFRIES VA
22026-2456
US
V. Phone/Fax
- Phone: 703-841-0703
- Fax: 703-841-0703
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106S00000X |
| Taxonomy | Behavior Technician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | 0701014510 |
| License Number State | VA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: