Healthcare Provider Details

I. General information

NPI: 1346737871
Provider Name (Legal Business Name): CHELSEA MANCHESTER ECKHOUSE PHD, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/19/2018
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2222 TULIP DR
FALLS CHURCH VA
22046-1840
US

IV. Provider business mailing address

1390 CHAIN BRIDGE RD # A236
MC LEAN VA
22101-3904
US

V. Phone/Fax

Practice location:
  • Phone: 703-755-0025
  • Fax:
Mailing address:
  • Phone: 703-755-0025
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPRC15023
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0701008923
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLC11594
License Number StateMD
# 4
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH25580
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: