Provider Demographics
NPI:1013022383
Name:HORNE, LOIS B (LPC)
Entity Type:Individual
Prefix:
First Name:LOIS
Middle Name:B
Last Name:HORNE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1208 W BEVERLEY ST
Mailing Address - Street 2:
Mailing Address - City:STAUNTON
Mailing Address - State:VA
Mailing Address - Zip Code:24401-3113
Mailing Address - Country:US
Mailing Address - Phone:540-213-1316
Mailing Address - Fax:540-213-1318
Practice Address - Street 1:1208 W BEVERLEY ST
Practice Address - Street 2:
Practice Address - City:STAUNTON
Practice Address - State:VA
Practice Address - Zip Code:24401-3113
Practice Address - Country:US
Practice Address - Phone:540-213-1316
Practice Address - Fax:540-213-1318
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701002272101Y00000X
VA0718000177101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA5404606Medicaid