Provider Demographics
NPI:1598706657
Name:RITTER, MAUREEN ANNE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:MAUREEN
Middle Name:ANNE
Last Name:RITTER
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 1:516 SEMINOLE DRIVE
Mailing Address - Street 2:
Mailing Address - City:BLACKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24060
Mailing Address - Country:US
Mailing Address - Phone:540-951-0626
Mailing Address - Fax:540-961-3408
Practice Address - Street 1:159 WALTERS DRIVE
Practice Address - Street 2:
Practice Address - City:CHRISTIANBURG
Practice Address - State:VA
Practice Address - Zip Code:24073
Practice Address - Country:US
Practice Address - Phone:540-381-3101
Practice Address - Fax:540-381-3105
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-09
Last Update Date:2014-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA07011002748101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA005412951Medicaid
141066OtherANTHEM
84778OtherSENTARA SOUTHERN HEALTH
274405OtherVALUE OPTIONS
266810000OtherMAGELLAN
542054465OtherCIGNA
7371338OtherAETNA