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NPI Code Detail

MEDICARE: MS. PHYLLIS BETH KOHLMANN LPC

MEDICARE: MS. PHYLLIS BETH KOHLMANN 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
1101YA0400XAddiction (Substance Use Disorder) Counselor0718000039VA
2101YP2500XProfessional Counselor0701000524VA
3101YP2500XProfessional CounselorPRC882DC

General Provider Information

NPI Number : 1114945607
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PHYLLIS BETH KOHLMANN LPC
Provider Business Mailing Address
First Line : 1617 FREMONT LN
Second Line :
City : VIENNA
State : VA
Zip : 22182-7307
Country : US
Telephone Number : 703-757-0707
Fax Number :
Provider Business Practice Location Address
First Line : 5319 LEE HWY
Second Line :
City : ARLINGTON
State : VA
Zip : 22207-1607
Country : US
Telephone Number : 703-532-7954
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2006
Last Update Date : 09/11/2025

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