Dorris, Laura A

Dorris, Laura A is an sole proprietor health care provider with primary practice located at 641 Lynnhaven Pkwy Suite 204, Virginia Beach VA 23452. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Dorris, Laura A can be contacted via phone (757) 306-4232.

Contact Information

Primary practice address
641 Lynnhaven Pkwy Suite 204 Virginia Beach VA 23452
Fax: (757) 306-4235
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 0701003738 Virginia

Profile Details

NPI number 1629061239
LBN Legal business name Dorris, Laura A
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2005
Last updated Feb 4th, 2008 - about 16 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 1629061239 NPPES
Virginia Other 083537M SENTARA
Virginia Other 173022 SENTARA
Virginia Other 351085 SENTARA
Virginia MEDICAID 6102528 SENTARA

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