Provider Demographics
NPI:1093024820
Name:JULIA C. STONE, LMFT, PC
Entity Type:Organization
Organization Name:JULIA C. STONE, LMFT, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:C
Authorized Official - Last Name:STONE
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:703-851-3119
Mailing Address - Street 1:15335 OAKMERE PL
Mailing Address - Street 2:
Mailing Address - City:CENTREVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20120-1119
Mailing Address - Country:US
Mailing Address - Phone:703-851-3119
Mailing Address - Fax:
Practice Address - Street 1:4001 FAIR RIDGE DR
Practice Address - Street 2:SUITE 302
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22033-2917
Practice Address - Country:US
Practice Address - Phone:703-851-3119
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-28
Last Update Date:2010-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0717000977251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA#0717000977OtherVIRGINIA DEPT OF HEALTH PROFESSIONALS LICENSURE, MARRIAGE AND FAMILY THERAPY