LELA PETTWAY (NPI# 1366802530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366802530 |
| Entity Type | Individual |
| Full Name | LELA PETTWAY |
| Other Name | MRS. LELA MUAHADATUN HICKMAN |
| Practice Address |
20 Woodlawn Court 20 Woodlawn Court Blue Rigde VA 24064 |
| Mailing Address |
20 Woodlawn Ct 20 Woodlawn Court Blue Ridge VA 24064-1636 |
| Practice Telephone | 5403140865 |
| Practice Fax Number | 8888888888 |
| Mailing Telephone | 5403140865 |
| Mailing Fax Number | 1111111111 |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2016-03-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | VA | Behavioral Health & Social Service Providers | |
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
20 WOODLAWN COURT 20 WOODLAWN COURT |
| City | BLUE RIGDE |
| State | VA |
| Zip Code | 24064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023084415 | Lisa S Kihm | Social Worker | 3522 Webster Road, Blue Ridge, VA 24064 | 2006-02-24 |
| 1265535611 | Botetourt Counseling Center Inc | Clinic/Center | 3522 Webster Road, Blue Ridge, VA 24064 | 2006-09-07 |
| 1851379432 | Jason D O Brien | Counselor | 3522 Webster Rd, Blue Ridge, VA 24064 | 2006-01-04 |
| 1346585478 | Wendi B Jenkins | Behavioral Analyst | 336 White Oak Dr, Blue Ridge, VA 24064-1246 | 2012-11-29 |
| 1952794588 | Gunter Psychological Services, Pllc | Community/Behavioral Health | 411 Pin Oak Dr, Blue Ridge, VA 24064-1261 | 2015-03-06 |
| 1972932895 | Spectrum of Disorders: Consulting and Training | Day Training, Developmentally Disabled Services | 245 Mountain Pass Rd, Blue Ridge, VA 24064-1404 | 2013-11-01 |
| 1912201237 | Audrey D. Williams | Speech-Language Pathologist | 83 Timberline Dr, Blue Ridge, VA 24064-1601 | 2010-12-29 |
| 1265891196 | Linda Morrison | Counselor | 568 Parkview Dr, Blue Ridge, VA 24064-1663 | 2016-02-20 |
| 1699826941 | Angela Annette Anderson Stroop | Counselor | 4542 Blue Ridge Blvd, Blue Ridge, VA 24064-1820 | 2007-01-15 |
| 1710377122 | Beth Ann Krisha | Psychologist | 4542 Blue Ridge Blvd, Blue Ridge, VA 24064-1820 | 2015-01-23 |
| Find all providers in zip 24064 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790229 | Candice Cornelio | Counselor | 1904 Tolbert Ter Apt 202, Chester, VA 23836-2824 | 2020-11-03 |
| 1306443619 | Helianthus Therapy Services, LLC | Counselor | 767 Madison Rd Ste 112-114, Culpeper, VA 22701-3379 | 2020-10-08 |
| 1477160471 | Sarah Chun | Counselor | 950 N Washington St # 322, Alexandria, VA 22314-1534 | 2020-09-24 |
| 1659983484 | A. Lawrence Christian Counseling LLC | Counselor | 8213 Sudley Rd Ste 202, Manassas, VA 20109-3507 | 2020-08-22 |
| 1578173993 | Marjorie Denise Handy | Counselor | 108 Joyce Rd, Bassett, VA 24055-6102 | 2020-08-01 |
| 1073122719 | David Wooden | Counselor | 4201 Wilson Blvd # 300, Arlington, VA 22203-4417 | 2020-07-29 |
| 1376152678 | Gwendolyn Maurice | Counselor | 739 Cherry Hill Rd, Heathsville, VA 22473-2648 | 2020-07-23 |
| 1922624154 | Cedric Wilson | Counselor | 2616 Stonegate Dr, Winchester, VA 22601-3482 | 2020-06-23 |
| 1154946291 | Chloe Fulcher Morrissett | Counselor | 8389 Reagan Dr, King George, VA 22485-7149 | 2020-06-15 |
| 1184248130 | Thomas Lafayette Bateman IIi | Counselor | 11025 Greenline Ct, Mechanicsville, VA 23116-5855 | 2020-06-05 |
| Find all providers with the same taxonomy | ||||
| City | BLUE RIGDE |
| Zip Code | 24064 |
Please comment or provide details below to improve the information on LELA PETTWAY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.