Healthcare Provider Details

I. General information

NPI: 1912684747
Provider Name (Legal Business Name): LEXI K BURTON M.S., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LEXI K. STENBACK M.S., CCC-SLP

II. Dates (important events)

Enumeration Date: 07/03/2023
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

681 HIOAKS RD STE C
RICHMOND VA
23225-4043
US

IV. Provider business mailing address

525 E 21ST ST APT 541
CHARLOTTE NC
28206-3909
US

V. Phone/Fax

Practice location:
  • Phone: 804-500-5973
  • Fax:
Mailing address:
  • Phone: 434-944-7426
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number2202011902
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number30000741
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: