# LANTERN PATH THERAPY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104438969
- **Authorized official:** VICTORIA HAYNES LPC, LMFT (LICENSED PROFESSIONAL COUNSELOR)
- **Authorized official phone:** (540) 226-5534

## Contact information

- **Practice address:** 4732 LONGHILL RD STE 3202, WILLIAMSBURG, VA 23188-1586
- **Practice address phone:** (540) 226-5534
- **Practice address fax:** (757) 852-0473
- **Mailing address:** 1464 YAKIMA RD, QUINTON, VA 23141-1935

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |

## Other

- **Enumeration date:** 08/21/2020
- **Last updated:** 08/31/2020