Healthcare Provider Details
I. General information
NPI: 1639823065
Provider Name (Legal Business Name): CHIA-HUA LU LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 02/04/2022
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
44927 GEORGE WASHINGTON BLVD STE 255
ASHBURN VA
20147
US
IV. Provider business mailing address
25473 FELTRE TERRACE
CHANTILLY VA
20152
US
V. Phone/Fax
- Phone: 703-634-3122
- Fax:
- Phone: 703-634-3122
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 221700000X |
| Taxonomy | Art Therapist |
| License Number | ATC292 |
| License Number State | MD |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | 0701011159 |
| License Number State | VA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: