Healthcare Provider Details

I. General information

NPI: 1982596276
Provider Name (Legal Business Name): ANNALISE LIVINGSTON LPC
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/19/2025
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 E MARKET ST
HARRISONBURG VA
22801-4226
US

IV. Provider business mailing address

4523 DRYSDALE ST
ROCKINGHAM VA
22801-4085
US

V. Phone/Fax

Practice location:
  • Phone: 540-324-8915
  • Fax:
Mailing address:
  • Phone: 434-906-9314
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701015114
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: