Healthcare Provider Details

I. General information

NPI: 1962046995
Provider Name (Legal Business Name): REBEKAH P STONE LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/02/2019
Last Update Date: 03/05/2026
Certification Date: 03/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1360 BEVERLY RD STE 200
MC LEAN VA
22101-3647
US

IV. Provider business mailing address

1360 BEVERLY RD STE 200
MC LEAN VA
22101-3647
US

V. Phone/Fax

Practice location:
  • Phone: 804-207-6737
  • Fax:
Mailing address:
  • Phone: 804-207-6737
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701008273
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: