Provider Demographics
NPI:1760733257
Name:MORANT, ANNMAY MICHELLE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:ANNMAY
Middle Name:MICHELLE
Last Name:MORANT
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 1:8424 SHELDON BRANCH PL
Mailing Address - Street 2:
Mailing Address - City:TOANO
Mailing Address - State:VA
Mailing Address - Zip Code:23168-9266
Mailing Address - Country:US
Mailing Address - Phone:757-202-7681
Mailing Address - Fax:
Practice Address - Street 1:474 COLONIAL TRAIL WEST
Practice Address - Street 2:
Practice Address - City:SURRY
Practice Address - State:VA
Practice Address - Zip Code:23883-0296
Practice Address - Country:US
Practice Address - Phone:757-294-0037
Practice Address - Fax:757-294-5113
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-25
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701005300101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health