Healthcare Provider Details

I. General information

NPI: 1952444259
Provider Name (Legal Business Name): LINDA R LYTTON LPC LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8421 DORSEY CIRCLE SUDLEY PARK PROFESSIONAL CTR
MANASSAS VA
20110
US

IV. Provider business mailing address

12046 MARKET SQUARE CT
MANASSAS VA
20112
US

V. Phone/Fax

Practice location:
  • Phone: 703-330-5633
  • Fax: 703-330-5633
Mailing address:
  • Phone: 703-791-6888
  • Fax: 703-330-5633

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701002285
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number0717000047
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: