Provider Demographics
NPI:1265814768
Name:VORLET, VIOLET LAURA (LMFT)
Entity type:Individual
Prefix:
First Name:VIOLET
Middle Name:LAURA
Last Name:VORLET
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 BOARS HEAD PL STE 230
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22903-4628
Mailing Address - Country:US
Mailing Address - Phone:503-468-9897
Mailing Address - Fax:503-386-1402
Practice Address - Street 1:1 BOARS HEAD PL STE 230
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22903-4628
Practice Address - Country:US
Practice Address - Phone:503-468-9897
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-22
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACG60474816101YM0800X
ORT1381106H00000X
WALF60801409106H00000X
VA0717001580106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health