MEDICARE: MS. NORMA S WHITE RN, LPC, LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	0701002466	VA
2	106H00000X	Marriage & Family Therapist	0717000397	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0701002466	OTHER	VA	LPC
2	0717000397	OTHER	VA	LMFT

General Provider Information

NPI Number	:	1073641528
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. NORMA S WHITE RN, LPC, LMFT

Provider Business Mailing Address
First Line	:	110 VISTA CENTRE DR
Second Line	:	SUITE 5
City	:	FOREST
State	:	VA
Zip	:	24551-2600
Country	:	US
Telephone Number	:	434-316-9339
Fax Number	:	434-316-7025

Provider Business Practice Location Address
First Line	:	110 VISTA CENTRE DR
Second Line	:	SUITE 5
City	:	FOREST
State	:	VA
Zip	:	24551-2600
Country	:	US
Telephone Number	:	434-316-9339
Fax Number	:	434-316-7025

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/28/2007
Last Update Date	:	04/12/2026

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