Individual provider · Type 1 NPI

Theo A. Petrocci, LPC

Mental Health Counselor · Roanoke, VA

NPI number 1922003458 Active

Practice location

16 Walnut Ave SW
Roanoke, VA 24016-4719

Call (540) 345-6468 Map

Fax (540) 345-3204

Mailing address

3500 Grove Ave, Ste 102
Richmond, VA 23221-2220

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X0701000926 (VA)

Mental Health Counselor: Definition to come...

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About NPI 1922003458

Theo A. Petrocci, LPC's National Provider Identifier is 1922003458, issued on Jun 21, 2005. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Roanoke, VA. The record was last updated on Jul 13, 2026.