Provider Demographics
NPI:1881776128
Name:MALONEY, LAURA SILZLE (ATR-BC, LPC, LMFT)
Entity type:Individual
Prefix:MS
First Name:LAURA
Middle Name:SILZLE
Last Name:MALONEY
Suffix:
Gender:F
Credentials:ATR-BC, LPC, LMFT
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:J
Other - Last Name:SILZLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC, LMFT
Mailing Address - Street 1:208 BURLEIGH AVE
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23505-3413
Mailing Address - Country:US
Mailing Address - Phone:757-630-3301
Mailing Address - Fax:
Practice Address - Street 1:821 W 21ST ST STE 209
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23517-1500
Practice Address - Country:US
Practice Address - Phone:757-472-1379
Practice Address - Fax:757-585-3521
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0717001169106H00000X
VA0701003466101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010001625Medicaid
VA1881776128Medicaid
VA071700169OtherLMFT
VA07010003466OtherLPC
1881776128OtherPROFESSIONAL COUNSELOR