Healthcare Provider Details

I. General information

NPI: 1407761299
Provider Name (Legal Business Name): NANCY CORNETT LPCA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

141 E 2ND AVE
WILLIAMSON WV
25661-3601
US

IV. Provider business mailing address

141 E 2ND AVE
WILLIAMSON WV
25661-3601
US

V. Phone/Fax

Practice location:
  • Phone: 304-433-0234
  • Fax: 304-236-3375
Mailing address:
  • Phone: 304-433-0234
  • Fax: 304-236-3375

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number274225
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: