Provider Demographics
NPI:1114399409
Name:KIRALY, ELIZABETH PAYNE (LPC)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:PAYNE
Last Name:KIRALY
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 1:3270 ALBERT LONG DR
Mailing Address - Street 2:
Mailing Address - City:ROCKINGHAM
Mailing Address - State:VA
Mailing Address - Zip Code:22801-2472
Mailing Address - Country:US
Mailing Address - Phone:864-979-5364
Mailing Address - Fax:
Practice Address - Street 1:3270 ALBERT LONG DR
Practice Address - Street 2:
Practice Address - City:ROCKINGHAM
Practice Address - State:VA
Practice Address - Zip Code:22801-2472
Practice Address - Country:US
Practice Address - Phone:864-979-5364
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-26
Last Update Date:2018-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health