Provider Demographics
NPI:1942919584
Name:VANHORN, KARLY N (MED, LPC)
Entity Type:Individual
Prefix:
First Name:KARLY
Middle Name:N
Last Name:VANHORN
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21731 TIMBERLAKE RD
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24502-7400
Mailing Address - Country:US
Mailing Address - Phone:434-455-5033
Mailing Address - Fax:
Practice Address - Street 1:137 LAXTON RD STE 200
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24502-5294
Practice Address - Country:US
Practice Address - Phone:434-218-5793
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-22
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701011796101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional