Provider Demographics
NPI:1346737871
Name:ECKHOUSE, CHELSEA MANCHESTER (PHD, LPC)
Entity Type:Individual
Prefix:DR
First Name:CHELSEA
Middle Name:MANCHESTER
Last Name:ECKHOUSE
Suffix:
Gender:F
Credentials:PHD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1390 CHAIN BRIDGE RD # A236
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-3904
Mailing Address - Country:US
Mailing Address - Phone:703-755-0025
Mailing Address - Fax:
Practice Address - Street 1:1595 SPRING HILL RD
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22182-2228
Practice Address - Country:US
Practice Address - Phone:703-755-0025
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-19
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPRC15023101YM0800X
VA0701008923101YM0800X
MDLC11594101YM0800X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health