LAURA BETH PACK LPC
NPI 1033963517
Counselor - Professional in Wytheville, VA
Active since April 12, 2024
About Laura Beth Pack Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAURA BETH PACK LPC (NPI 1033963517) is an individual professional provider in Wytheville, Virginia, licensed in Virginia (0701013403) and active in the NPI registry since April 2024.
NPPES Registry Identity
NPI1033963517
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameLAURA BETH PACKCredential: LPC
Location Address750 W RIDGE RDWytheville, VA 24382-1046
Mailing Address770 W Ridge RdWytheville, VA 24382-1187 · (276) 223-3200 · Fax (276) 223-0617
Phone(276) 223-3201
Fax(276) 625-0117
Sole ProprietorNo
Enumeration DateApril 12, 2024
NPPES CertifiedApril 12, 2024
✔ NPI 1033963517 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in VA · 0701013403
750 W RIDGE RD, Wytheville, VA 24382
Other Names 1
Former Name (1)Laura Beth Dalton
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033963517, enumerated as an "individual" on April 12, 2024.
The provider is located at 750 W RIDGE RD WYTHEVILLE, VA 24382 and the phone number is (276) 223-3201.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
