Provider Demographics
NPI:1558048678
Name:SORRELLS, ABIGAIL LEE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:ABIGAIL
Middle Name:LEE
Last Name:SORRELLS
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:PO BOX 236
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:24435-0236
Mailing Address - Country:US
Mailing Address - Phone:540-810-6518
Mailing Address - Fax:
Practice Address - Street 1:3111 N LEE HWY
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:VA
Practice Address - Zip Code:24450-3200
Practice Address - Country:US
Practice Address - Phone:540-463-6693
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-30
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701005006101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional