Provider Demographics
NPI:1205528494
Name:BARRETT, TOWANTA (LPC-R)
Entity type:Individual
Prefix:
First Name:TOWANTA
Middle Name:
Last Name:BARRETT
Suffix:
Gender:F
Credentials:LPC-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14542 NEEDHAM MARKET RD
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-1683
Mailing Address - Country:US
Mailing Address - Phone:252-268-2344
Mailing Address - Fax:
Practice Address - Street 1:14542 NEEDHAM MARKET RD
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23112-1683
Practice Address - Country:US
Practice Address - Phone:252-268-2344
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-24
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0704005063101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health