Healthcare Provider Details

I. General information

NPI: 1417867557
Provider Name (Legal Business Name): ROBERTA COLLIER-BROWN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

385 GARRISONVILLE RD STE 116
STAFFORD VA
22554-8900
US

IV. Provider business mailing address

385 GARRISONVILLE RD STE 116
STAFFORD VA
22554-8900
US

V. Phone/Fax

Practice location:
  • Phone: 540-782-8878
  • Fax: 866-463-1099
Mailing address:
  • Phone: 540-782-8878
  • Fax: 866-463-1099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701016743
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: