Healthcare Provider Details

I. General information

NPI: 1275693483
Provider Name (Legal Business Name): ELAINE WALTERS MCFERRON LPC LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

613 N LYNN HAVEN RD #1 SUITE B
VIRGINIA BEACH VA
23452
US

IV. Provider business mailing address

3419 VIRGINIA BEACH BLVD #B12
VIRGINIA BEACH VA
23452
US

V. Phone/Fax

Practice location:
  • Phone: 757-486-6515
  • Fax: 757-498-5452
Mailing address:
  • Phone: 757-486-6515
  • Fax: 757-498-5452

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701000857
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number0717000744
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: