Healthcare Provider Details

I. General information

NPI: 1851242549
Provider Name (Legal Business Name): ANNALYNNE REDDINGTON LGPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/07/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9480 MAIN ST # 1130
FAIRFAX VA
22031-4032
US

IV. Provider business mailing address

9480 MAIN ST # 1130
FAIRFAX VA
22031-4032
US

V. Phone/Fax

Practice location:
  • Phone: 202-964-1209
  • Fax:
Mailing address:
  • Phone: 202-964-1209
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLGP17430
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: