MARK T. LARSEN, LPC LLC
NPI 1437812211
Counselor - Professional in Wytheville, VA
Active since October 18, 2021
About Mark T. Larsen, Lpc Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK T. LARSEN, LPC LLC (NPI 1437812211) is a healthcare organization registered as a professional in Wytheville, Virginia and active in the NPI registry since October 2021. The organization lists Mark Timothy Larsen, Owner/member, as its authorized official.
NPPES Registry Identity
NPI1437812211
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameMARK T. LARSEN, LPC LLC
Location Address170 NOTTINGHAM DRWytheville, VA 24382-1412
Mailing Address170 Nottingham DrWytheville, VA 24382-1412 · (276) 698-5595
Phone(276) 698-5595
Organization SubpartNo
Authorized OfficialMark Timothy LarsenOwner/member · (276) 698-5595
Enumeration DateOctober 18, 2021
NPPES CertifiedOctober 18, 2021
✔ NPI 1437812211 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
170 NOTTINGHAM DR, Wytheville, VA 24382
Group Practice 1
Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1437812211, enumerated as an "organization" on October 18, 2021.
The provider is located at 170 NOTTINGHAM DR WYTHEVILLE, VA 24382 and the phone number is (276) 698-5595.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
