Healthcare Provider Details

I. General information

NPI: 1669303210
Provider Name (Legal Business Name): MIHIKA CORODIMAS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2026
Last Update Date: 05/25/2026
Certification Date: 05/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20276A TIMBERLAKE RD
LYNCHBURG VA
24502-7214
US

IV. Provider business mailing address

20276A TIMBERLAKE RD
LYNCHBURG VA
24502-7214
US

V. Phone/Fax

Practice location:
  • Phone: 434-319-5528
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0701016216
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: