Healthcare Provider Details

I. General information

NPI: 1336802446
Provider Name (Legal Business Name): ERIN D PINCKNEY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2021
Last Update Date: 10/15/2021
Certification Date: 10/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1047 VISTA PARK DR STE A
FOREST VA
24551-4362
US

IV. Provider business mailing address

18 W PRINCETON CIR APT 126
LYNCHBURG VA
24503-1476
US

V. Phone/Fax

Practice location:
  • Phone: 434-616-2388
  • Fax:
Mailing address:
  • Phone: 434-947-0161
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: ERIN DENISE PINCKNEY
Title or Position: LICENSED PROFESSIONAL COUNSELOR
Credential: LPC
Phone: 434-947-0161