Provider Demographics
NPI:1225281918
Name:MCGEE, MICHAEL SIDNEY (MS, LPC)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:SIDNEY
Last Name:MCGEE
Suffix:
Gender:M
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 158
Mailing Address - Street 2:
Mailing Address - City:PARROTT
Mailing Address - State:VA
Mailing Address - Zip Code:24132-0158
Mailing Address - Country:US
Mailing Address - Phone:540-641-1304
Mailing Address - Fax:877-338-0304
Practice Address - Street 1:6226 UNIVERSITY PARK DR
Practice Address - Street 2:SUITE 3300
Practice Address - City:RADFORD
Practice Address - State:VA
Practice Address - Zip Code:24141-8631
Practice Address - Country:US
Practice Address - Phone:540-641-1304
Practice Address - Fax:877-338-0304
Is Sole Proprietor?:No
Enumeration Date:2008-10-28
Last Update Date:2016-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701003735101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA619521OtherVALUEOPTIONS