Healthcare Provider Details

I. General information

NPI: 1831545359
Provider Name (Legal Business Name): ANNA MCCHESNEY LPC, MS, MT-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2016
Last Update Date: 03/11/2022
Certification Date: 03/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 SOUTHLAKE BLVD STE B
NORTH CHESTERFIELD VA
23236-3935
US

IV. Provider business mailing address

830 SOUTHLAKE BLVD STE B
NORTH CHESTERFIELD VA
23236-3935
US

V. Phone/Fax

Practice location:
  • Phone: 804-466-3130
  • Fax: 804-466-3130
Mailing address:
  • Phone: 804-466-3130
  • Fax: 804-466-3130

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701006494
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: