Provider Demographics
NPI:1528370517
Name:OGLESBY, CHRISTINE E (LPC, LMFT)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:E
Last Name:OGLESBY
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 MEMORIAL AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24501-2658
Mailing Address - Country:US
Mailing Address - Phone:434-845-5944
Mailing Address - Fax:434-845-0840
Practice Address - Street 1:2600 MEMORIAL AVE STE 201
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24501-2658
Practice Address - Country:US
Practice Address - Phone:434-845-5944
Practice Address - Fax:434-845-0840
Is Sole Proprietor?:No
Enumeration Date:2010-07-08
Last Update Date:2016-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701004424101YP2500X
VA0717001171106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist