Dr. Khilia Tyese Giacobone, PHD, LPC, CSOTP
Counselor, Professional in Mechanicsville, VA. Individual provider (NPI-1).
NPI number1902628126
StatusActive
Last updated in NPPESMar 5, 2026
Details
- NPI
- 1902628126
- Entity type
- Individual (NPI-1)
- Name
- Dr. Khilia Tyese Giacobone
- Credential
- PHD, LPC, CSOTP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 29, 2024
- Certification date
- Mar 5, 2026
- Last updated
- Mar 5, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 0701011919 | VA | Yes |
| 101YP2500X | Counselor, Professional | PRC15359 | DC |
Practice location
Po Box 337Mechanicsville, VA 23111-0337
Phone 804-306-1790
Mailing address
3315 Craftmaster CtMechanicsville, VA 23111-6144
Phone 804-306-1790
Other practice locations
546 Walnut Grove Dr
Jarratt, VA 23867-8611
Jarratt, VA 23867-8611
Phone 804-306-1790
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