Healthcare Provider Details

I. General information

NPI: 1881744738
Provider Name (Legal Business Name): PENNY ALEASE NORFORD PH.D, L.P.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/11/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

914 E HIGH ST
CHARLOTTESVILLE VA
22902-4850
US

IV. Provider business mailing address

341 NEWTOWN RD
GREENWOOD VA
22943-1701
US

V. Phone/Fax

Practice location:
  • Phone: 434-971-7097
  • Fax: 434-979-1123
Mailing address:
  • Phone: 540-456-8460
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number0710000315
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701002744
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: