Healthcare Provider Details

I. General information

NPI: 1154055960
Provider Name (Legal Business Name): CAYLYN NICOLE ARBOGAST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CAYLYN NICOLE CRUZ LPC

II. Dates (important events)

Enumeration Date: 07/16/2022
Last Update Date: 07/03/2025
Certification Date: 07/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1420 US HIGHWAY 211 W STE J
LURAY VA
22835-5249
US

IV. Provider business mailing address

1241 N MAIN ST
HARRISONBURG VA
22802-4632
US

V. Phone/Fax

Practice location:
  • Phone: 434-473-3915
  • Fax:
Mailing address:
  • Phone: 540-434-1941
  • Fax: 540-434-0132

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701015055
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: