Provider Demographics
NPI:1518977990
Name:COVIELLO, GEORGE STEPHEN (LPC)
Entity Type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:STEPHEN
Last Name:COVIELLO
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2208 TRAIES CT
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22306-2564
Mailing Address - Country:US
Mailing Address - Phone:703-780-3543
Mailing Address - Fax:703-780-3543
Practice Address - Street 1:801 N PITT ST
Practice Address - Street 2:SUITE 113
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-1765
Practice Address - Country:US
Practice Address - Phone:703-780-3543
Practice Address - Fax:703-780-3543
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701001194101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010227534Medicaid
VA010226457Medicaid