Provider Demographics
NPI:1740749258
Name:SUNSTONE COUNSELING, PLLC
Entity Type:Organization
Organization Name:SUNSTONE COUNSELING, PLLC
Other - Org Name:SUNSTONE COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:KERMIT
Authorized Official - Last Name:COYNE
Authorized Official - Suffix:III
Authorized Official - Credentials:LCSW
Authorized Official - Phone:703-328-4112
Mailing Address - Street 1:124 E BROAD ST STE D
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22046-4530
Mailing Address - Country:US
Mailing Address - Phone:703-328-4112
Mailing Address - Fax:
Practice Address - Street 1:124 E BROAD ST
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22046-4529
Practice Address - Country:US
Practice Address - Phone:703-328-4112
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-14
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental HealthGroup - Multi-Specialty