Provider Demographics
NPI:1669874996
Name:YORK, VIRGINIA (LPCC)
Entity type:Individual
Prefix:MRS
First Name:VIRGINIA
Middle Name:
Last Name:YORK
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 ARLINGTON AVE
Mailing Address - Street 2:MS 1161
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43614-2595
Mailing Address - Country:US
Mailing Address - Phone:419-383-3861
Mailing Address - Fax:419-383-3289
Practice Address - Street 1:3000 ARLINGTON AVE
Practice Address - Street 2:MS 1161
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43614-2595
Practice Address - Country:US
Practice Address - Phone:419-383-3861
Practice Address - Fax:419-383-3289
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-18
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.2102232101YM0800X
OHC 1300170101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH398232Medicaid
OHC 1300170OtherOHIO COUNSELOR AND SOCIAL WORK BOARD