Doctor Name: | MARY FLEURY MAYFIELD |
NPI Number: | 1982826251 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 0701004107 |
Business Practice Address: | Northwestern Community Services 23 W. Main Street Luray, VA - 22835 |
Business Phone Number: | 5407434548 |
Business Fax Number: | 5407436067 |
Mailing Address: | Po Box 366, MILLWOOD |
State: | VA |
Postal Code: | 22646 |
Phone Number: | 5408371384 |
Fax Number: | |
NPI Enumeration Date: | 05/03/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 0701004107 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |