Provider Demographics
NPI:1467566869
Name:MAGILL, CATHERINE LEE (LPC)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:LEE
Last Name:MAGILL
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 1:3505 PINEBROOK DRIVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23225-1213
Mailing Address - Country:US
Mailing Address - Phone:408-389-2316
Mailing Address - Fax:855-746-1899
Practice Address - Street 1:8719 FOREST HILL AVENUE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23235
Practice Address - Country:US
Practice Address - Phone:804-389-2316
Practice Address - Fax:855-746-1899
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-19
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701003807101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA358104OtherTRICARE
VA541920965OtherVA HEALTH NETWORK
VA81087600Medicaid
VA192685OtherANTHEM
VA088449MOtherSENTARA
VA270811OtherCOMPSYCH
VA01027173Medicaid