Provider Demographics
NPI:1326634189
Name:CHAMBERS-LEWIS, LATOYA THYAISE (LPC)
Entity Type:Individual
Prefix:
First Name:LATOYA
Middle Name:THYAISE
Last Name:CHAMBERS-LEWIS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:LATOYA
Other - Middle Name:THYAISE
Other - Last Name:CHAMBERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 285
Mailing Address - Street 2:
Mailing Address - City:NEW CANTON
Mailing Address - State:VA
Mailing Address - Zip Code:23123-0285
Mailing Address - Country:US
Mailing Address - Phone:434-808-5777
Mailing Address - Fax:
Practice Address - Street 1:1046 MAIN ST
Practice Address - Street 2:
Practice Address - City:DILLWYN
Practice Address - State:VA
Practice Address - Zip Code:23936
Practice Address - Country:US
Practice Address - Phone:434-808-0604
Practice Address - Fax:434-808-0716
Is Sole Proprietor?:No
Enumeration Date:2020-12-16
Last Update Date:2020-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701010009103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling