Healthcare Provider Details

I. General information

NPI: 1801538384
Provider Name (Legal Business Name): ANN GARRETT LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANN EDMONDS

II. Dates (important events)

Enumeration Date: 04/13/2022
Last Update Date: 04/13/2022
Certification Date: 04/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 W COMMERCE ST
AMHERST VA
24521-1115
US

IV. Provider business mailing address

PO BOX 6316
LYNCHBURG VA
24505-6316
US

V. Phone/Fax

Practice location:
  • Phone: 434-946-2316
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701011347
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: