Organization · Type 2 NPI

Charlottesville League of Therapists, Inc

Counselor · Dillwyn, VA

NPI number 1093004871 Active

Practice location

1046 Main Street
Dillwyn, VA 23936

Call (434) 984-0023 Map

Fax (434) 984-4852

Mailing address

911 E Jefferson St
Charlottesville, VA 22902-5355

Specialties and licenses

Taxonomy	Code	License
Counselor Primary	101Y00000X	411 (VA)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

4 other providers at this address

NPI record

NPI: 1093004871
Entity type: Organization (Type 2)
Issued: Apr 1, 2011
Last updated: Apr 1, 2011
Status: Active
Subpart: Yes of Charlottesville League of Therapists, Inc

Other names

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South Central League of Therapists · other name

Authorized official

Victoria Gibson
Regional HR Assistant
(434) 984-0023

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1093004871

Charlottesville League of Therapists, Inc's National Provider Identifier is 1093004871, issued on Apr 1, 2011. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Dillwyn, VA. The record was last updated on Apr 1, 2011.