Provider Demographics
NPI:1174951974
Name:MCARTHUR, LAURIE
Entity type:Individual
Prefix:
First Name:LAURIE
Middle Name:
Last Name:MCARTHUR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:905 SOUTHLAKE BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23236-3955
Mailing Address - Country:US
Mailing Address - Phone:804-419-0492
Mailing Address - Fax:804-419-0500
Practice Address - Street 1:905 SOUTHLAKE BLVD STE C
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23236-3955
Practice Address - Country:US
Practice Address - Phone:804-419-0492
Practice Address - Fax:804-419-0500
Is Sole Proprietor?:No
Enumeration Date:2013-10-15
Last Update Date:2013-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701005577101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor