Healthcare Provider Details

I. General information

NPI: 1700791647
Provider Name (Legal Business Name): PSYCHOLOGY & COUNSELING INSTITUTE OF THE AMERICAS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8604 PARLIAMENT DR
SPRINGFIELD VA
22151-1311
US

IV. Provider business mailing address

8604 PARLIAMENT DR
SPRINGFIELD VA
22151-1311
US

V. Phone/Fax

Practice location:
  • Phone: 703-929-7865
  • Fax:
Mailing address:
  • Phone: 703-929-7865
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. ELISON SILVA SANTOS
Title or Position: MANAGER
Credential: PHD
Phone: 703-929-7865