Provider Demographics
NPI:1073400545
Name:MORELAND, JILLIAN DENISE (LPC)
Entity type:Individual
Prefix:MRS
First Name:JILLIAN
Middle Name:DENISE
Last Name:MORELAND
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 1:138 NOTTINGHAM PL
Mailing Address - Street 2:
Mailing Address - City:MADISON HEIGHTS
Mailing Address - State:VA
Mailing Address - Zip Code:24572-2956
Mailing Address - Country:US
Mailing Address - Phone:434-420-5084
Mailing Address - Fax:
Practice Address - Street 1:20564 TIMBERLAKE RD STE B
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24502-7246
Practice Address - Country:US
Practice Address - Phone:434-616-4980
Practice Address - Fax:434-616-4981
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701014577101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health