Provider Demographics
NPI:1942812789
Name:HALUFSKA, CARSON LEIGH (MED, LPC)
Entity type:Individual
Prefix:
First Name:CARSON
Middle Name:LEIGH
Last Name:HALUFSKA
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:CARSON
Other - Middle Name:LEIGH
Other - Last Name:SCOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1304 MCKINNEY AVE
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24502-1626
Mailing Address - Country:US
Mailing Address - Phone:434-661-8880
Mailing Address - Fax:
Practice Address - Street 1:110 VISTA CENTRE DR
Practice Address - Street 2:
Practice Address - City:FOREST
Practice Address - State:VA
Practice Address - Zip Code:24551-2775
Practice Address - Country:US
Practice Address - Phone:434-316-9339
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-22
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701009812101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health