Healthcare Provider Details

I. General information

NPI: 1861253395
Provider Name (Legal Business Name): HARLEIGH HUMPHRIES LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/22/2024
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1162 PROFESSIONAL DR
WILLIAMSBURG VA
23185-3330
US

IV. Provider business mailing address

44259 SPINKS FERRY RD
LEESBURG VA
20176-5211
US

V. Phone/Fax

Practice location:
  • Phone: 757-377-2757
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701016111
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: