NPI Code Details Logo

NPI 1033089859

NPI 1033089859 : EVENSTAR MENTAL HEALTH COUNSELING LLC : MIDDLEBURG, VA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1033089859
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    EVENSTAR MENTAL HEALTH COUNSELING LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    11/06/2025
-----------------------------------------------------
    Last Update Date     |    11/06/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    119 THE PLAINS RD STE 300 
-----------------------------------------------------
    City                 |    MIDDLEBURG
-----------------------------------------------------
    State                |    VA
-----------------------------------------------------
    Zip                  |    20117-2691
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    202-469-0679
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    130 DENNIS RD 
-----------------------------------------------------
    City                 |    CASTLETON
-----------------------------------------------------
    State                |    VA
-----------------------------------------------------
    Zip                  |    22716-2517
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    202-469-0679
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     KATE ASHLEY LANKFORD 
-----------------------------------------------------
    Credential           |    LPC
-----------------------------------------------------
    Telephone            |    202-469-0679
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    101YM0800X
-----------------------------------------------------
    Taxonomy Name        |    Mental Health Counselor
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.