Provider Demographics
NPI:1376052563
Name:LAING, EMILY MARY (LPC)
Entity type:Individual
Prefix:MS
First Name:EMILY
Middle Name:MARY
Last Name:LAING
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 1:11787 BAYFIELD CT
Mailing Address - Street 2:
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20194-1510
Mailing Address - Country:US
Mailing Address - Phone:517-568-8057
Mailing Address - Fax:571-376-6735
Practice Address - Street 1:11787 BAYFIELD CT
Practice Address - Street 2:
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20194-1510
Practice Address - Country:US
Practice Address - Phone:517-568-8057
Practice Address - Fax:571-376-6735
Is Sole Proprietor?:No
Enumeration Date:2017-09-20
Last Update Date:2024-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPRC15191101YM0800X
NY006507101YM0800X
VA0701008256101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health