Healthcare Provider Details

I. General information

NPI: 1750348744
Provider Name (Legal Business Name): DORIS GUERRANT PH D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 12/14/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1525 BREMBLE DR
MONETA VA
24121-2530
US

IV. Provider business mailing address

1525 BREMBLE DRIVE
MONETA VA
24121-2530
US

V. Phone/Fax

Practice location:
  • Phone: 540-721-1818
  • Fax: 540-721-0048
Mailing address:
  • Phone: 540-721-1818
  • Fax: 540-721-0048

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701000340
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: