Healthcare Provider Details

I. General information

NPI: 1154055960
Provider Name (Legal Business Name): CAYLYN NICOLE ARBOGAST LPC
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: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 W MAIN ST
LURAY VA
22835-1234
US

IV. Provider business mailing address

9295 N CONGRESS ST
NEW MARKET VA
22844-9507
US

V. Phone/Fax

Practice location:
  • Phone: 434-473-3915
  • Fax: 866-890-7027
Mailing address:
  • Phone: 434-473-3915
  • Fax: 866-890-7027

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: