Individual ProviderStacey Lee WaringPsychologistBehavioral Health & Social Service ProvidersPractice Address102 Heritage Way NE Ste 302, Leesburg, VA 20176-4544(703) 771-5100(703) 758-2550PECOS EnrollmentBased on the most recent information from CMS, provider Stacey Lee Waring does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1053420943Provider TypeIndividualFull NameWaring, Stacey LeeTitleDr.CredentialPH.D.GenderFemaleSole ProprietorYesEnumeration Date8/30/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address102 Heritage Way NE Ste 302, Leesburg, VA 20176-4544Phone(703) 771-5100Fax(703) 777-0170Mailing LocationMailing Address3373 Hickory Hills Dr, Oakton, VA 22124-2306Phone(703) 758-2550FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode103TC0700XPrimaryDescriptionPsychologistBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerVirginiaProvider IdentifiersIDDescriptionIssuerID293823DescriptionOtherIssuerAMERIGROUPVirginiaID384563DescriptionOtherIssuerANTHEMVirginia