Provider Demographics
NPI:1205043825
Name:FORD, ANN HELEN (LPC)
Entity Type:Individual
Prefix:MS
First Name:ANN
Middle Name:HELEN
Last Name:FORD
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 1:201 ROYAL ST SE STE D
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20175-3116
Mailing Address - Country:US
Mailing Address - Phone:703-777-9117
Mailing Address - Fax:
Practice Address - Street 1:201 ROYAL ST SE STE D
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20175-3116
Practice Address - Country:US
Practice Address - Phone:703-777-9117
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701001843101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA114690OtherANTHEM