Healthcare Provider Details

I. General information

NPI: 1235029497
Provider Name (Legal Business Name): LDB COUNSELING AND CONSULTING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2025
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1080 DELPHI LN
CHARLOTTESVILLE VA
22911-3649
US

IV. Provider business mailing address

4030 WAKE FOREST RD STE 349
RALEIGH NC
27609-0010
US

V. Phone/Fax

Practice location:
  • Phone: 412-609-6537
  • Fax:
Mailing address:
  • Phone: 412-609-6537
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: LAUREN DEASY BLACKSHAW
Title or Position: OWNER AND THERAPIST
Credential: LCMHC
Phone: 412-609-6537