Healthcare Provider Details

I. General information

NPI: 1285387753
Provider Name (Legal Business Name): BETHANY T. STEELE MA, LPC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BETHANY T. DOAN

II. Dates (important events)

Enumeration Date: 02/03/2022
Last Update Date: 02/03/2022
Certification Date: 02/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

316 BROOK PARK PL
FOREST VA
24551-2766
US

IV. Provider business mailing address

622 LEESVILLE RD
LYNCHBURG VA
24502-2855
US

V. Phone/Fax

Practice location:
  • Phone: 434-533-1088
  • Fax:
Mailing address:
  • Phone: 865-567-4013
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0701011215
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: