Individual
ELIZABETH S BLEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
110 CARRIAGE WAY, LYNCHBURG, VA 24503-4223
(434) 444-3648
Mailing address
110 CARRIAGE WAY, LYNCHBURG, VA 24503-4223
(434) 444-3648
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701003884
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945441
—
VA
01
—
186930
ANTHEM BLUE SHIELD
VA
Enumeration date
09/26/2006
Last updated
01/20/2022
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