Provider Demographics
NPI:1851877203
Name:STRODE, BRIAN J (LPC)
Entity type:Individual
Prefix:
First Name:BRIAN
Middle Name:J
Last Name:STRODE
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:733 THIMBLE SHOALS BLVD
Mailing Address - Street 2:SUITE 170, OFFICE 102
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606
Mailing Address - Country:US
Mailing Address - Phone:757-347-0450
Mailing Address - Fax:757-347-0460
Practice Address - Street 1:733 THIMBLE SHOALS BLVD
Practice Address - Street 2:SUITE 170, OFFICE 102
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606
Practice Address - Country:US
Practice Address - Phone:757-347-0450
Practice Address - Fax:757-347-0460
Is Sole Proprietor?:No
Enumeration Date:2018-07-18
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701007757101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional