Provider Demographics
NPI:1376544569
Name:MAY, TIMOTHY D (MA, LPC)
Entity Type:Individual
Prefix:MR
First Name:TIMOTHY
Middle Name:D
Last Name:MAY
Suffix:
Gender:M
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:218 SHENANDOAH AVE
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22824-9130
Mailing Address - Country:US
Mailing Address - Phone:540-984-9401
Mailing Address - Fax:
Practice Address - Street 1:1014 AMHERST ST
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-3348
Practice Address - Country:US
Practice Address - Phone:540-545-4147
Practice Address - Fax:833-518-1244
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701003494101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional