Healthcare Provider Details

I. General information

NPI: 1861297608
Provider Name (Legal Business Name): AMY PARSONS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/17/2025
Last Update Date: 02/17/2025
Certification Date: 02/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1406 LUNENBURG AVE
VICTORIA VA
23974-9593
US

IV. Provider business mailing address

1406 LUNENBURG AVE
VICTORIA VA
23974-9593
US

V. Phone/Fax

Practice location:
  • Phone: 252-564-5248
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0701014517
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: