Organization
LANTERN PATH THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA HAYNES LPC, LMFT (LICENSED PROFESSIONAL COUNSELOR)
(540) 226-5534
Entity
Organization
Contact information
Practice address
4732 LONGHILL RD STE 3202, WILLIAMSBURG, VA 23188-1586
(540) 226-5534
(757) 852-0473
Mailing address
1464 YAKIMA RD, QUINTON, VA 23141-1935
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
08/21/2020
Last updated
08/31/2020
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