Healthcare Provider Details

I. General information

NPI: 1376544569
Provider Name (Legal Business Name): TIMOTHY D. MAY M.A., L.P.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2005
Last Update Date: 02/27/2024
Certification Date: 02/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1014 AMHERST ST
WINCHESTER VA
22601-3348
US

IV. Provider business mailing address

218 SHENANDOAH AVE
EDINBURG VA
22824-9130
US

V. Phone/Fax

Practice location:
  • Phone: 540-545-4147
  • Fax: 833-518-1244
Mailing address:
  • Phone: 540-984-9401
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701003494
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: