MEDICARE: ALI SILLS

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	101YP2500X	Professional Counselor	0704018226	VA

General Provider Information

NPI Number	:	1659242147
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALI SILLS

Provider Business Mailing Address
First Line	:	7318 SOUTHWIND DR APT 204
Second Line	:
City	:	CHESTERFIELD
State	:	VA
Zip	:	23832-1977
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7318 SOUTHWIND DR APT 204
Second Line	:
City	:	CHESTERFIELD
State	:	VA
Zip	:	23832-1977
Country	:	US
Telephone Number	:	804-928-2641
Fax Number	:

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

Provider Enumeration Date	:	09/16/2025
Last Update Date	:	09/16/2025

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Directions to “ ALI SILLS ” Practice Location

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