NPI 1396842043 · live from the CMS NPI Registry
Teresa Buchanan Ancellotti, PhD, LMFT, LPC
Marriage & Family Therapist in Williamsburg, VA. National Provider Identifier 1396842043, active.
NPI record
| NPI | 1396842043 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 1769 Jamestown Rd., Ste. 102 Jamestowne Professional Park, Williamsburg, VA 23185 |
| Practice phone | 757-608-8659 |
| Enumerated | September 17, 2006 |
| Last updated | February 12, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Professional | 101YP2500X | 0701002331 (VA) |
| Counselor, Professional | 101YP2500X | 0701092331 (VA) |
| Psychologist, School | 103TS0200X | — |
| Marriage & Family Therapist primary | 106H00000X | 0717000232 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.