Provider Demographics
NPI:1255166054
Name:SPRINKLE, LAURA WHISNANT (LPC)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:WHISNANT
Last Name:SPRINKLE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:SPRINKLE
Other - Last Name:AESCHLIMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:1240 E EVA BLVD
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-6210
Mailing Address - Country:US
Mailing Address - Phone:252-327-6379
Mailing Address - Fax:
Practice Address - Street 1:644 INDEPENDENCE PKWY STE 200
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-5212
Practice Address - Country:US
Practice Address - Phone:757-547-1811
Practice Address - Fax:757-547-1118
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-03
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701013929101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional