Provider Demographics
NPI:1114492444
Name:NEWCOMB, TOY (LPC)
Entity Type:Individual
Prefix:
First Name:TOY
Middle Name:
Last Name:NEWCOMB
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:TOY
Other - Middle Name:
Other - Last Name:DICKENS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12750 JEFFERSON DAVIS HWY # 103
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23831-5308
Mailing Address - Country:US
Mailing Address - Phone:804-505-4869
Mailing Address - Fax:
Practice Address - Street 1:12750 JEFFERSON DAVIS HWY # 103
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:VA
Practice Address - Zip Code:23831-5308
Practice Address - Country:US
Practice Address - Phone:804-505-4869
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-13
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701007912101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0701007912OtherLPC LICENSE