Provider Demographics
NPI:1396831293
Name:HARRIS, VIRGINIA CATHERINE (LPC)
Entity Type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:CATHERINE
Last Name:HARRIS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:VIRGINIA
Other - Middle Name:CATHERINE
Other - Last Name:GRIFFITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:201B ROSSER AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:WAYNESBORO
Mailing Address - State:VA
Mailing Address - Zip Code:22980-3540
Mailing Address - Country:US
Mailing Address - Phone:540-942-8747
Mailing Address - Fax:540-941-8933
Practice Address - Street 1:201B ROSSER AVE STE 2
Practice Address - Street 2:
Practice Address - City:WAYNESBORO
Practice Address - State:VA
Practice Address - Zip Code:22980-3540
Practice Address - Country:US
Practice Address - Phone:540-942-8747
Practice Address - Fax:540-941-8933
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701002867101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA172837OtherANTHEM
VA3305970OtherCIGNA
VAO85679MOtherSENTARA
VA010087651Medicaid