Provider Demographics
NPI:1568649820
Name:WINESETT, LORI ANNE (LPC)
Entity Type:Individual
Prefix:MS
First Name:LORI
Middle Name:ANNE
Last Name:WINESETT
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 1:122 E MAIN ST
Mailing Address - Street 2:SUITE G-01
Mailing Address - City:BEDFORD
Mailing Address - State:VA
Mailing Address - Zip Code:24523-2000
Mailing Address - Country:US
Mailing Address - Phone:540-586-7652
Mailing Address - Fax:540-587-5673
Practice Address - Street 1:122 E MAIN ST
Practice Address - Street 2:SUITE G-01
Practice Address - City:BEDFORD
Practice Address - State:VA
Practice Address - Zip Code:24523-2000
Practice Address - Country:US
Practice Address - Phone:540-586-7652
Practice Address - Fax:540-587-5673
Is Sole Proprietor?:No
Enumeration Date:2008-01-29
Last Update Date:2008-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701004258101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional