Healthcare Provider Details

I. General information

NPI: 1215883194
Provider Name (Legal Business Name): KEMP PSYCHOLOGICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2026
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

292 GARRISONVILLE RD
STAFFORD VA
22554-1574
US

IV. Provider business mailing address

292 GARRISONVILLE RD
STAFFORD VA
22554-1574
US

V. Phone/Fax

Practice location:
  • Phone: 540-445-1803
  • Fax: 540-318-1483
Mailing address:
  • Phone: 540-445-1803
  • Fax: 540-318-1483

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: KURT DROSTE
Title or Position: COO
Credential: LPC
Phone: 540-445-1803