Provider Demographics
NPI:1013156371
Name:SEAWELL, JOANNE CLARKE (LPC/LMFT)
Entity Type:Individual
Prefix:MRS
First Name:JOANNE
Middle Name:CLARKE
Last Name:SEAWELL
Suffix:
Gender:F
Credentials:LPC/LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13801 VILLAGE MILL DR
Mailing Address - Street 2:SUITE 105
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23114-4382
Mailing Address - Country:US
Mailing Address - Phone:804-909-2803
Mailing Address - Fax:804-794-0838
Practice Address - Street 1:6603 IRONGATE SQ
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23234-6081
Practice Address - Country:US
Practice Address - Phone:804-743-0960
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-10
Last Update Date:2016-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701002369101YP2500X
VA0717000847106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist