Individual
ELIZABETH BAILEY-GRINCIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
428 MCLAWS CIR STE 202A, WILLIAMSBURG, VA 23185-5654
(757) 808-5250
Mailing address
424 W DUKE OF GLOUCESTER ST STE 201, WILLIAMSBURG, VA 23185-3659
(757) 603-3646
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701007434
VA
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
C1300403
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0701007434
STATE LICENSE
VA
Enumeration date
03/15/2016
Last updated
02/02/2021
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