Provider Demographics
NPI:1548319403
Name:VOORHIES, NEDRA (LPC)
Entity type:Individual
Prefix:DR
First Name:NEDRA
Middle Name:
Last Name:VOORHIES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10269 KESTREL DR
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:VA
Mailing Address - Zip Code:23005-1256
Mailing Address - Country:US
Mailing Address - Phone:804-502-9111
Mailing Address - Fax:
Practice Address - Street 1:6366 MECHANICSVILLE TPKE
Practice Address - Street 2:SUITE 201A
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23111-4704
Practice Address - Country:US
Practice Address - Phone:804-502-9111
Practice Address - Fax:804-622-8051
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2013-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10795101Y00000X
VA0701002887101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor