Provider Demographics
NPI:1922388685
Name:LOUGEE, VIRGINIA BLAIR (MS)
Entity Type:Individual
Prefix:MS
First Name:VIRGINIA
Middle Name:BLAIR
Last Name:LOUGEE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MS
Other - First Name:GINNY
Other - Middle Name:BLAIR
Other - Last Name:LOUGEE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:VIRGINIA LOUGEE
Mailing Address - Street 1:210 BAY RD
Mailing Address - Street 2:
Mailing Address - City:NEWMARKET
Mailing Address - State:NH
Mailing Address - Zip Code:03857-1728
Mailing Address - Country:US
Mailing Address - Phone:404-395-8220
Mailing Address - Fax:
Practice Address - Street 1:55 MAIN ST STE 413
Practice Address - Street 2:
Practice Address - City:NEWMARKET
Practice Address - State:NH
Practice Address - Zip Code:03857-4201
Practice Address - Country:US
Practice Address - Phone:404-624-6895
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-25
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health