Healthcare Provider Details

I. General information

NPI: 1245126242
Provider Name (Legal Business Name): ANGEL L ZERVOS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2025
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20925 PROFESSIONAL PLZ STE 230
ASHBURN VA
20147-3403
US

IV. Provider business mailing address

7469 GREENWICH RD
NOKESVILLE VA
20181-3567
US

V. Phone/Fax

Practice location:
  • Phone: 571-832-0693
  • Fax: 703-665-7686
Mailing address:
  • Phone: 202-495-0556
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701014995
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: