Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Derosa Wellness Innovation, LLC

Organization Professional Counselor · NPI 1124716519

Derosa Wellness Innovation, LLC is a Professional Counselor in Reston, Virginia. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11921 Freedom Dr Ste 550
Reston, VA 20190-5635
Phone: (703) 826-1353
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X

Record details

NPI number1124716519
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shirley Derosa — Director · (703) 826-1353
NPI enumeratedApril 25, 2023
Last updated in NPPESApril 26, 2023
Certification dateApril 26, 2023
Mailing address11921 Freedom Dr Ste 550, Reston, VA 20190-5635

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