Provider Demographics
NPI:1811994312
Name:OJURE, TERRY (LPC & LSATP)
Entity type:Individual
Prefix:MR
First Name:TERRY
Middle Name:
Last Name:OJURE
Suffix:
Gender:M
Credentials:LPC & LSATP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:163 WINEBERRY LN
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:24450-7034
Mailing Address - Country:US
Mailing Address - Phone:540-817-4063
Mailing Address - Fax:540-463-2635
Practice Address - Street 1:205 S RANDOLPH ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:VA
Practice Address - Zip Code:24450-2366
Practice Address - Country:US
Practice Address - Phone:540-817-4063
Practice Address - Fax:540-463-2635
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-30
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0718000018101YA0400X
VA0701001662101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA111111111Medicaid
VA004945271Medicaid