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

Lifeline Psychotherapy Services

Organization Addiction (Substance Use Disorder) Counselor · NPI 1417469974

Lifeline Psychotherapy Services is an Addiction (Substance Use Disorder) Counselor in Fairfax, Virginia. Licensed in Virginia. Registered with an NPI since 2017.

Licensed in
VA
In the registry since
2017
Specialties on file
3

Practice location Address checks out

11350 Random Hills Rd Ste 800
Fairfax, VA 22030-6044
Phone: (703) 409-6258
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 0717000800 (VA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 0710000893 (VA)
Professional Counselor Taxonomy 101YP2500X · Licence 0701002418 (VA)

Record details

NPI number1417469974
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hoang Oanh Rodgers — Owner · (703) 409-6258
NPI enumeratedOctober 24, 2017
Last updated in NPPESOctober 24, 2017
Mailing address12646 Heron Ridge Dr, Fairfax, VA 22030-6638

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