Provider Demographics
NPI:1164227518
Name:GRAVATT, VICTORIA LASHLEY (LPC)
Entity type:Individual
Prefix:MRS
First Name:VICTORIA
Middle Name:LASHLEY
Last Name:GRAVATT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:VICTORIA
Other - Middle Name:LASHLEY
Other - Last Name:HANCOCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2104 LONGWOOD ROAD
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24503
Mailing Address - Country:US
Mailing Address - Phone:618-944-2252
Mailing Address - Fax:
Practice Address - Street 1:2203 GRAVES MILL ROAD
Practice Address - Street 2:SUITE C
Practice Address - City:FOREST
Practice Address - State:VA
Practice Address - Zip Code:24551
Practice Address - Country:US
Practice Address - Phone:434-602-8557
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-18
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701014181101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional