Provider Demographics
NPI:1235603820
Name:STEPHENSON, ELIINA (LPC)
Entity type:Individual
Prefix:MS
First Name:ELIINA
Middle Name:
Last Name:STEPHENSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2807 N PARHAM RD
Mailing Address - Street 2:STE 320 #5994
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23294
Mailing Address - Country:US
Mailing Address - Phone:703-260-9621
Mailing Address - Fax:
Practice Address - Street 1:2807 N PARHAM RD
Practice Address - Street 2:STE 320 #5994
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23294
Practice Address - Country:US
Practice Address - Phone:703-260-9621
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-16
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701008113101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health