Ancellotti, Teresa Buchanan

Ancellotti, Teresa Buchanan is an sole proprietor health care provider with primary practice located at 1769 Jamestown Rd. Ste. 102 Jamestowne Professional Park, Williamsburg VA 23185. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Ancellotti, Teresa Buchanan can be contacted via phone (757) 608-8659.

Contact Information

Primary practice address
1769 Jamestown Rd. Ste. 102 Jamestowne Professional Park Williamsburg VA 23185
Phone: (757) 608-8659
Fax: (757) 932-6020
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701002331 Virginia
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701092331 Virginia
Behavioral Health & Social Service Providers / School 103TS0200X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0717000232 Virginia

Profile Details

NPI number 1396842043
LBN Legal business name Ancellotti, Teresa Buchanan
Credentials PHD, LMFT, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 17th, 2006
Last updated Feb 12th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396842043 NPPES
Virginia Other 070916 VALUE OPTIONS
Virginia Other 245771 VALUE OPTIONS
Virginia Other 455651000 VALUE OPTIONS
Virginia Other 52891 VALUE OPTIONS
Virginia Other 081408 VALUE OPTIONS
Virginia Other 100050909 VALUE OPTIONS
Virginia MEDICAID 5414105 VALUE OPTIONS

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