Healthcare Provider Details

I. General information

NPI: 1992668552
Provider Name (Legal Business Name): STEPHANIE HOPE WHITE LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

622 MAIN ST
WARSAW VA
22572-4280
US

IV. Provider business mailing address

622 MAIN ST
WARSAW VA
22572-4280
US

V. Phone/Fax

Practice location:
  • Phone: 804-472-3706
  • Fax: 866-639-3167
Mailing address:
  • Phone: 804-472-3706
  • Fax: 866-639-3167

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701015691
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: