Provider Demographics
NPI:1205447935
Name:BAYS, ANNALUCIA (PHD, LCP, CGP)
Entity type:Individual
Prefix:DR
First Name:ANNALUCIA
Middle Name:
Last Name:BAYS
Suffix:
Gender:F
Credentials:PHD, LCP, CGP
Other - Prefix:DR
Other - First Name:ANNALUCIA
Other - Middle Name:
Other - Last Name:BAYS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD, LCP, CGP
Mailing Address - Street 1:487 MCLAWS CIR STE 1B
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23185-5672
Mailing Address - Country:US
Mailing Address - Phone:757-899-4804
Mailing Address - Fax:
Practice Address - Street 1:487 MCLAWS CIR STE 1B
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23185-5672
Practice Address - Country:US
Practice Address - Phone:757-899-4804
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-15
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810006097103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling