Provider Demographics
NPI:1972100881
Name:LAOCH, ARI (LPC, CRC, CBIST)
Entity Type:Individual
Prefix:
First Name:ARI
Middle Name:
Last Name:LAOCH
Suffix:
Gender:M
Credentials:LPC, CRC, CBIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16111 GARY AVE
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23831-7406
Mailing Address - Country:US
Mailing Address - Phone:804-855-9714
Mailing Address - Fax:
Practice Address - Street 1:16111 GARY AVE
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:VA
Practice Address - Zip Code:23831-7406
Practice Address - Country:US
Practice Address - Phone:804-496-1556
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-04
Last Update Date:2020-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701008540101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0701008540OtherVA BOARD OF COUSENLING
12308OtherBRAIN INJURY ASSOCIATION OF AMERICA
187414OtherEVERGREEN CERTIFICATION/PESI
00356959OtherCOMMISSION ON REHABILITATION COUNSELOR CERTIFICATION