IndividualActive
Amanda Gushard-Edwards, LCSW
NPI 1174027221 · Mental Health Counselor · Leesburg, VA
Provider details
- NPI number
- 1174027221
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 0904013334 (VA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
102 Heritage Way Ne Ste 302
Leesburg, VA 20176-4544
Phone: (703) 771-5100
Approximate (ZIP-level) locationGet directions
Mailing address
102 Heritage Way Ne Ste 302
Leesburg, VA 20176-4544
Registry dates
- Enumerated
- 2018-03-22
- Last updated
- 2021-12-07
- Certified
- 2021-10-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.