Healthcare Provider Details

I. General information

NPI: 1235142944
Provider Name (Legal Business Name): STEPHANIE SAVAGE LPC, LSATP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 MEDICAL DR SUITE A
HAMPTON VA
23666-1767
US

IV. Provider business mailing address

2501 WASHINGTON AVE 1ST FLOOR
NEWPORT NEWS VA
23607-4327
US

V. Phone/Fax

Practice location:
  • Phone: 757-788-0400
  • Fax: 757-788-0957
Mailing address:
  • Phone: 757-245-0217
  • Fax: 757-245-4918

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701002765
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number0718000024
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: