Individual
LAWRENCE GERARD MATHENY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LMFT
Contact information
Practice address
102 HERITAGE WAY NE STE 302, LEESBURG, VA 20176-4544
(703) 771-5100
(703) 777-0170
Mailing address
12795 ANITA LN, LOVETTSVILLE, VA 20180-2420
(540) 822-5917
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701002520
VA
106H00000X
Marriage & Family Therapist
Primary
0717000741
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
293858
AMERIGROUP
VA
01
—
335092
ANTHEM
VA
01
—
335093
ANTHEM
VA
Enumeration date
09/28/2006
Last updated
09/11/2025
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