Mclendon, Lavonne D

Mclendon, Lavonne D is an individual health care provider with primary practice located at 43 Rives Rd Suite B, Petersburg VA 23805-9255. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Mclendon, Lavonne D can be contacted via phone (804) 728-2138.

Contact Information

Primary practice address
43 Rives Rd Suite B Petersburg VA 23805-9255
Phone: (804) 728-2138
Fax: (804) 728-2138
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1447333653
LBN Legal business name Mclendon, Lavonne D
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Aug 18th, 2023 - about last year

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 1447333653 NPPES
Virginia Other C08729 MEDICARE GROUP NUMBER
Virginia Other 1477512416 MEDICARE GROUP NUMBER

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