Provider Demographics
NPI:1720028996
Name:STRETCH, LORIANN SYKES (LPC, LCMHC-S)
Entity Type:Individual
Prefix:DR
First Name:LORIANN
Middle Name:SYKES
Last Name:STRETCH
Suffix:
Gender:F
Credentials:LPC, LCMHC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4601 NOLAND BLVD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23188-7587
Mailing Address - Country:US
Mailing Address - Phone:312-619-1359
Mailing Address - Fax:919-359-9071
Practice Address - Street 1:4601 NOLAND BLVD
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23188-7587
Practice Address - Country:US
Practice Address - Phone:312-619-1359
Practice Address - Fax:919-359-9071
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-07
Last Update Date:2022-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4381101YM0800X
NCS4381101YM0800X
VA0701010280101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6102456Medicaid
NC203330426OtherAETNA
NC203330426OtherUNITED HEALTH CARE
NC134VUOtherBLUE CROSS BLUE SHIELD
NC203330426OtherMEDCOST
NC203330426OtherTRICARE