Healthcare Provider Details
I. General information
NPI: 1437563046
Provider Name (Legal Business Name): LISHA MCCURRY MA, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/12/2014
Last Update Date: 05/24/2021
Certification Date: 05/24/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1300 SUNSET LN STE 3120
CULPEPER VA
22701-3398
US
IV. Provider business mailing address
701 KENMORE AVE STE 105
FREDERICKSBURG VA
22401-5792
US
V. Phone/Fax
- Phone: 540-399-9970
- Fax:
- Phone: 540-322-5424
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | 6401014453 |
| License Number State | MI |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | 0701008463 |
| License Number State | VA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101Y00000X |
| Taxonomy | Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: