Provider Demographics
NPI:1366589418
Name:MOSCOVIS DENNY, CHRISTA A (LMFT)
Entity type:Individual
Prefix:
First Name:CHRISTA
Middle Name:A
Last Name:MOSCOVIS DENNY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:CHRISTA
Other - Middle Name:M
Other - Last Name:DENNY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT
Mailing Address - Street 1:12849 GALVESTON CT # 180
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20112-8676
Mailing Address - Country:US
Mailing Address - Phone:703-496-5244
Mailing Address - Fax:
Practice Address - Street 1:12020 SUNRISE VALLEY DR STE 100
Practice Address - Street 2:
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20191-3429
Practice Address - Country:US
Practice Address - Phone:703-496-5244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0717001123106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist