Healthcare Provider Details

I. General information

NPI: 1518896513
Provider Name (Legal Business Name): JUDITH HAWLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 N PENDLETON ST
MIDDLEBURG VA
20117-2681
US

IV. Provider business mailing address

PO BOX 962
MIDDLEBURG VA
20118-0962
US

V. Phone/Fax

Practice location:
  • Phone: 540-208-5887
  • Fax: 855-848-9903
Mailing address:
  • Phone: 540-208-5887
  • Fax: 855-848-9903

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701016193
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: