Healthcare Provider Details

I. General information

NPI: 1558206284
Provider Name (Legal Business Name): ALISON CARIELLO LPC, SEP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6731 CURRAN ST
MC LEAN VA
22101-3985
US

IV. Provider business mailing address

1504 LINCOLN WAY
MC LEAN VA
22102-5851
US

V. Phone/Fax

Practice location:
  • Phone: 571-932-3252
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: