Healthcare Provider Details

I. General information

NPI: 1033144555
Provider Name (Legal Business Name): MARGARET GUENTHER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 08/21/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

513 FOREST AVE SUITE 200
RICHMOND VA
23229-6850
US

IV. Provider business mailing address

513 FOREST AVE SUITE 200
RICHMOND VA
23229-6850
US

V. Phone/Fax

Practice location:
  • Phone: 804-288-4211
  • Fax:
Mailing address:
  • Phone: 804-288-4211
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701001278
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number0717000129
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: