Healthcare Provider Details

I. General information

NPI: 1720940133
Provider Name (Legal Business Name): TERRENCE SNELLINGS LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/25/2025
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20925 PROFESSIONAL PLZ STE 230
ASHBURN VA
20147-3403
US

IV. Provider business mailing address

20925 PROFESSIONAL PLZ STE 230
ASHBURN VA
20147-3403
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number0717002448
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: