Provider Demographics
NPI:1558418665
Name:LUSHER, TERRY W (LPC)
Entity Type:Individual
Prefix:
First Name:TERRY
Middle Name:W
Last Name:LUSHER
Suffix:
Gender:M
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 1397
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:WV
Mailing Address - Zip Code:24901-4397
Mailing Address - Country:US
Mailing Address - Phone:304-645-5355
Mailing Address - Fax:304-645-5378
Practice Address - Street 1:734 MAPLEWOOD AVE
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:WV
Practice Address - Zip Code:24901
Practice Address - Country:US
Practice Address - Phone:304-645-5355
Practice Address - Fax:304-645-5378
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2015-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1078101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional