Healthcare Provider Details

I. General information

NPI: 1821868712
Provider Name (Legal Business Name): ELOQUIA THERAPEUTIC & CONSULTING SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2024
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24831 MASON DALE TER
CHANTILLY VA
20152-4503
US

IV. Provider business mailing address

24831 MASON DALE TER
CHANTILLY VA
20152-4503
US

V. Phone/Fax

Practice location:
  • Phone: 703-300-6473
  • Fax:
Mailing address:
  • Phone: 703-651-6907
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: DR. LINDA IYEBOTE
Title or Position: OWNER
Credential: PH.D., LCSW, LICSW
Phone: 703-300-6473