Healthcare Provider Details

I. General information

NPI: 1265126338
Provider Name (Legal Business Name): CHRISTINA TOUGH LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/02/2023
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 WILSON DR
WILLIAMSBURG VA
23188-2215
US

IV. Provider business mailing address

115 WILSON DR
WILLIAMSBURG VA
23188-2215
US

V. Phone/Fax

Practice location:
  • Phone: 530-646-6682
  • Fax:
Mailing address:
  • Phone: 530-646-6682
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0904018115
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: