Healthcare Provider Details

I. General information

NPI: 1720791080
Provider Name (Legal Business Name): SETERA LEIGH STEVENS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/03/2023
Last Update Date: 12/06/2025
Certification Date: 12/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 N RAILROAD AVE STE A
ASHLAND VA
23005-1528
US

IV. Provider business mailing address

104 N RAILROAD AVE
ASHLAND VA
23005-1528
US

V. Phone/Fax

Practice location:
  • Phone: 804-798-5327
  • Fax:
Mailing address:
  • Phone: 804-798-5327
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701012086
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: