MEDICARE: MRS. TREVENE GORDON M.A, LPC, CSAC

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	0710103698	VA
2	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)	0701013512	VA
3	101YP2500X	Professional Counselor	0701013512	VA
4	101YM0800X	Mental Health Counselor	0701013512	VA

General Provider Information

NPI Number	:	1336882315
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TREVENE GORDON M.A, LPC, CSAC

Provider Business Mailing Address
First Line	:	3200 RANSOM HILLS RD
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23237-3571
Country	:	US
Telephone Number	:	804-502-3723
Fax Number	:

Provider Business Practice Location Address
First Line	:	11923 CENTRE ST STE C
Second Line	:
City	:	CHESTER
State	:	VA
Zip	:	23831-1702
Country	:	US
Telephone Number	:	804-502-3723
Fax Number	:

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

Provider Enumeration Date	:	04/18/2022
Last Update Date	:	05/19/2026

Similar Medicare Providers

1013698737 — REFOCUS COUNSELING LLC
Practice Location Address:

11923 CENTRE ST STE C
CHESTER, VA
23831-1702

Practice Phone: 804-306-8909
Practice Fax:

1225967227 — AGLOW INDUSTRIES LLC
Practice Location Address:

11923 CENTRE ST STE B2
CHESTER, VA
23831-1702

Practice Phone: 804-915-1610
Practice Fax:

1245014836 — MID-ATLANTIC BEHAVIORAL SERVICES , LLC
Practice Location Address:

11923 CENTRE ST STE B1
CHESTER, VA
23831-1702

Practice Phone: 310-270-0968
Practice Fax:

1760555874 — PROFESSIONAL HEARING AID SERVICE, INC
Practice Location Address:

11923 CENTRE ST , SUITE A3
CHESTER, VA
23831-1702

Practice Phone: 804-796-3210
Practice Fax: 804-796-1112

1003052457 — DR. DEMETRIA C. BROWN PSY.D.
Practice Location Address:

11923 CENTRE ST STE A9
CHESTER, VA
23831-1702

Practice Phone: 804-861-6616
Practice Fax:

1548520539 — COMMONWEALTH FAMILY SERVICES, LLC
Practice Location Address:

11923 CENTRE ST , SUITEA-7
CHESTER, VA
23831-1702

Practice Phone: 804-502-3229
Practice Fax:

Directions to “ MRS. TREVENE GORDON M.A, LPC, CSAC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.