Mayberry, Lorrie A

Mayberry, Lorrie A is an individual health care provider with primary practice located at 12721 Darby Brook Ct Suite 102, Woodbridge VA 22192-2408. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Mayberry, Lorrie A can be contacted via phone (703) 497-1771.

Contact Information

Primary practice address
12721 Darby Brook Ct Suite 102 Woodbridge VA 22192-2408
Phone: (703) 497-1771
Fax: (703) 497-1225
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0718000123 Virginia
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701003902 Virginia

Profile Details

NPI number 1215979083
LBN Legal business name Mayberry, Lorrie A
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Jul 8th, 2007 - about 17 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 1215979083 NPPES
Virgin Islands Other 188901 ANTHEM
Virgin Islands Other 088656M ANTHEM
Virgin Islands Other 2140350 ANTHEM

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