1225281918 NPI number — MR. MICHAEL SIDNEY MCGEE MS, LPC

Table of content: MR. MICHAEL SIDNEY MCGEE MS, LPC (NPI 1225281918)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225281918 NPI number — MR. MICHAEL SIDNEY MCGEE MS, LPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MCGEE
Provider First Name:
MICHAEL
Provider Middle Name:
SIDNEY
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
MS, LPC
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1225281918
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/08/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 158
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PARROTT
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
24132-0158
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
540-641-1304
Provider Business Mailing Address Fax Number:
877-338-0304

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6226 UNIVERSITY PARK DR
Provider Second Line Business Practice Location Address:
SUITE 3300
Provider Business Practice Location Address City Name:
RADFORD
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
24141-8631
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
540-641-1304
Provider Business Practice Location Address Fax Number:
877-338-0304
Provider Enumeration Date:
10/28/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  0701003735 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 619521 . This is a "VALUEOPTIONS" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".




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