Healthcare Provider Details

I. General information

NPI: 1013859156
Provider Name (Legal Business Name): ICONNECT COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2026
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 N WASHINGTON ST STE 100
FALLS CHURCH VA
22046-3538
US

IV. Provider business mailing address

6612 ORLAND ST
FALLS CHURCH VA
22043-1862
US

V. Phone/Fax

Practice location:
  • Phone: 571-310-3363
  • Fax:
Mailing address:
  • Phone: 703-407-9778
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: REBECCA LEUNG
Title or Position: MANAGING MEMBER
Credential: MBA, MSW, LCSW, PMP
Phone: 703-407-9778