Provider Demographics
NPI:1942826284
Name:MASSIE, KARMEN RIZZO (LPC)
Entity type:Individual
Prefix:
First Name:KARMEN
Middle Name:RIZZO
Last Name:MASSIE
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 1:205 S RANDOLPH ST
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:24450-2366
Mailing Address - Country:US
Mailing Address - Phone:540-254-7868
Mailing Address - Fax:
Practice Address - Street 1:205 S RANDOLPH ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:VA
Practice Address - Zip Code:24450-2366
Practice Address - Country:US
Practice Address - Phone:540-254-7868
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-23
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701009475101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health