Provider Demographics
NPI:1831200021
Name:BILLINGSLEY, TERESA (LPC)
Entity type:Individual
Prefix:MS
First Name:TERESA
Middle Name:
Last Name:BILLINGSLEY
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 1:101 DUNCRAIG DR UNIT 107
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24502-5790
Mailing Address - Country:US
Mailing Address - Phone:434-455-5033
Mailing Address - Fax:
Practice Address - Street 1:101 DUNCRAIG DR UNIT 107
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24502-5790
Practice Address - Country:US
Practice Address - Phone:434-277-3236
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701003778101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010210305Medicaid
VA010129842Medicaid