Provider Demographics
NPI:1093537094
Name:STANDLEY, ABBEY E
Entity type:Individual
Prefix:
First Name:ABBEY
Middle Name:E
Last Name:STANDLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 CAPSTONE DR UNIT 101
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24502-5266
Mailing Address - Country:US
Mailing Address - Phone:901-581-9922
Mailing Address - Fax:
Practice Address - Street 1:HILL CITY COUNSELING & CONSULTING
Practice Address - Street 2:112 CANDLEWOOD CT.
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24502-5266
Practice Address - Country:US
Practice Address - Phone:901-581-9922
Practice Address - Fax:434-608-0505
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-30
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0730000695101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health