Healthcare Provider Details

I. General information

NPI: 1457019754
Provider Name (Legal Business Name): STEPHEN ARCAYA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/03/2021
Last Update Date: 01/12/2024
Certification Date: 01/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

767 MADISON RD STE 107
CULPEPER VA
22701-3340
US

IV. Provider business mailing address

PO BOX 291943
NASHVILLE TN
37229-1943
US

V. Phone/Fax

Practice location:
  • Phone: 833-356-4080
  • Fax:
Mailing address:
  • Phone: 833-952-0829
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0704014423
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701013212
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: