MEDICARE: ELOQUIA THERAPEUTIC & CONSULTING SERVICES PLLC

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1821868712
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELOQUIA THERAPEUTIC & CONSULTING SERVICES PLLC

Provider Business Mailing Address
First Line	:	24831 MASON DALE TER
Second Line	:
City	:	CHANTILLY
State	:	VA
Zip	:	20152-4503
Country	:	US
Telephone Number	:	703-651-6907
Fax Number	:

Provider Business Practice Location Address
First Line	:	24831 MASON DALE TER
Second Line	:
City	:	CHANTILLY
State	:	VA
Zip	:	20152-4503
Country	:	US
Telephone Number	:	703-300-6473
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. LINDA IYEBOTE
Credential	:	PH.D., LCSW, LICSW
Telephone Number	:	703-300-6473

Provider Enumeration Date	:	01/03/2024
Last Update Date	:	12/27/2025

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