MEDICARE: GINNY HARRIS, LPC, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1336938729
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GINNY HARRIS, LPC, LLC

Provider Business Mailing Address
First Line	:	500 COMMERCE RD
Second Line	:
City	:	STAUNTON
State	:	VA
Zip	:	24401
Country	:	US
Telephone Number	:	540-212-9878
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 COMMERCE RD
Second Line	:
City	:	STAUNTON
State	:	VA
Zip	:	24401
Country	:	US
Telephone Number	:	540-212-9878
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PROVIDER
Name	:	VIRGINIA C HARRIS
Credential	:
Telephone Number	:	540-212-9878

Provider Enumeration Date	:	05/02/2025
Last Update Date	:	01/05/2026

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