Healthcare Provider Details

I. General information

NPI: 1164338513
Provider Name (Legal Business Name): PEDIATRIC BEHAVIORAL HEALTH SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 GIBSON ST NW STE 202
LEESBURG VA
20176-2115
US

IV. Provider business mailing address

211 GIBSON ST NW STE 202
LEESBURG VA
20176-2115
US

V. Phone/Fax

Practice location:
  • Phone: 703-783-7712
  • Fax: 571-376-6845
Mailing address:
  • Phone: 703-783-7712
  • Fax: 571-376-6845

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: KATIE GEANEAS
Title or Position: PMHNP/OWNER
Credential: NP
Phone: 703-783-7712