Healthcare Provider Details

I. General information

NPI: 1871809533
Provider Name (Legal Business Name): SENAH ANGELINE SAFERIGHT LLOYD LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SENAH ANGELINE SAFERIGHT LPC

II. Dates (important events)

Enumeration Date: 08/19/2010
Last Update Date: 12/28/2022
Certification Date: 12/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

GROW HEALTHCARE GROUP, PA 8300 BOONE BLVD. STE 500
VIENNA VA
22182-2681
US

IV. Provider business mailing address

PO BOX 935
RURAL RETREAT VA
24368
US

V. Phone/Fax

Practice location:
  • Phone: 703-884-2598
  • Fax: 954-480-1784
Mailing address:
  • Phone: 540-818-1559
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701004899
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0701004899
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: