Healthcare Provider Details

I. General information

NPI: 1982174389
Provider Name (Legal Business Name): WHITNEY EVANS GOOCH LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/28/2018
Last Update Date: 01/15/2026
Certification Date: 01/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

209 W CRISER RD
FRONT ROYAL VA
22630-2360
US

IV. Provider business mailing address

209 W CRISER RD STE 300
FRONT ROYAL VA
22630-2360
US

V. Phone/Fax

Practice location:
  • Phone: 540-646-2931
  • Fax: 540-636-2933
Mailing address:
  • Phone: 540-327-5783
  • Fax: 540-636-7171

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701007963
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: