MEDICARE: HARLEIGH HUMPHRIES LPC

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	101YP2500X	Professional Counselor	0701016111	VA

General Provider Information

NPI Number	:	1861253395
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HARLEIGH HUMPHRIES LPC

Provider Business Mailing Address
First Line	:	44259 SPINKS FERRY RD
Second Line	:
City	:	LEESBURG
State	:	VA
Zip	:	20176-5211
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1162 PROFESSIONAL DR
Second Line	:
City	:	WILLIAMSBURG
State	:	VA
Zip	:	23185-3330
Country	:	US
Telephone Number	:	757-377-2757
Fax Number	:

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

Provider Enumeration Date	:	01/22/2024
Last Update Date	:	04/16/2026

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