1700887478 NPI number — ANNE R. NEFF LPC

Table of content: CODY DAVID LVN (NPI 1750862678)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1700887478 NPI number — ANNE R. NEFF LPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NEFF
Provider First Name:
ANNE
Provider Middle Name:
R.
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LPC
Provider Gender Code:
F

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:
1700887478
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/13/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1204 FENWICK DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LYNCHBURG
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
24502-2112
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3300 RIVERMONT AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LYNCHBURG
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
24503-2030
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
434-200-5999
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/03/2005

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:  0701001863 , 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: O89939 . This is a "SENTARA MENTAL HEALTH PRO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 012064 . This is a "VALUE OPTIONS PROVIDER NU" identifier . This identifiers is of the category "OTHER".
  • Identifier: 186487 . This is a "ANTHEM PROVIDER NUMBER" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2017691 . This is a "CIGNA BEHAVIOR PROVIDER N" identifier . This identifiers is of the category "OTHER".
  • Identifier: 203639329015 . This is a "TRICARE PROVIDER NUMBER" identifier . This identifiers is of the category "OTHER".




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