Healthcare Provider Details

I. General information

NPI: 1942422704
Provider Name (Legal Business Name): SILVIA RESTIVO LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2007
Last Update Date: 02/03/2025
Certification Date: 02/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 E PICCADILLY ST STE 100D
WINCHESTER VA
22601-5002
US

IV. Provider business mailing address

117 E PICCADILLY ST STE 100D
WINCHESTER VA
22601-5002
US

V. Phone/Fax

Practice location:
  • Phone: 540-974-5873
  • Fax:
Mailing address:
  • Phone: 540-974-5873
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701004131
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: