Provider Demographics
NPI:1215147061
Name:ROSS, SENOVIA CHARMYNE (M ED, LMFT)
Entity type:Individual
Prefix:MRS
First Name:SENOVIA
Middle Name:CHARMYNE
Last Name:ROSS
Suffix:
Gender:F
Credentials:M ED, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6349 ALDERMAN DR
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22315-3731
Mailing Address - Country:US
Mailing Address - Phone:703-971-5209
Mailing Address - Fax:
Practice Address - Street 1:316 COMMERCE ST
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-2802
Practice Address - Country:US
Practice Address - Phone:703-549-9554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0717001115106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist