MEDICARE: DOROTHY J MEBANE LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	PRC200002208	DC

General Provider Information

NPI Number	:	1033042486
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DOROTHY J MEBANE LPC

Provider Business Mailing Address
First Line	:	18499 PERDIDO BAY TER
Second Line	:
City	:	LEESBURG
State	:	VA
Zip	:	20176-7401
Country	:	US
Telephone Number	:	919-218-3285
Fax Number	:

Provider Business Practice Location Address
First Line	:	4414 5TH ST NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20011-4723
Country	:	US
Telephone Number	:	202-978-5024
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2026
Last Update Date	:	06/05/2026

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