Healthcare Provider Details

I. General information

NPI: 1093335846
Provider Name (Legal Business Name): ALEXIS H ARNETTE-BOWEN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALEXIS H ARNETTE LPC

II. Dates (important events)

Enumeration Date: 04/22/2020
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1593 SPRING HILL RD STE 705
VIENNA VA
22182-2249
US

IV. Provider business mailing address

1593 SPRING HILL RD STE 705
VIENNA VA
22182-2289
US

V. Phone/Fax

Practice location:
  • Phone: 804-207-6737
  • Fax:
Mailing address:
  • Phone: 804-207-6737
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701008309
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0701008309
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: