Provider Demographics
NPI:1336250349
Name:MAYO, DORSEY D (LPC)
Entity Type:Individual
Prefix:MRS
First Name:DORSEY
Middle Name:D
Last Name:MAYO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1922 GRAVES MILL ROAD
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24502-4237
Mailing Address - Country:US
Mailing Address - Phone:434-385-0013
Mailing Address - Fax:434-385-1073
Practice Address - Street 1:1922 GRAVES MILL ROAD
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24502-4237
Practice Address - Country:US
Practice Address - Phone:434-385-0013
Practice Address - Fax:434-385-1073
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701001544101YP2500X
VA0717000448106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist