Healthcare Provider Details

I. General information

NPI: 1174695688
Provider Name (Legal Business Name): JOYCE MEAGHER LPC PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9675 B MAIN ST
FAIRFAX VA
22031
US

IV. Provider business mailing address

6204 SIERRA CT
MANASSAS VA
20111
US

V. Phone/Fax

Practice location:
  • Phone: 703-816-3335
  • Fax: 703-426-4262
Mailing address:
  • Phone: 703-257-1718
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701001655
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number0717000208
License Number StateVA

VIII. Authorized Official

Name: MRS. JOYCE MARIE MEAGHER
Title or Position: PRIVATE PRACTITIONER
Credential: LPC LMFT
Phone: 703-816-3335