Provider Demographics
NPI:1104375088
Name:LITTLETON, LAURA ANN (MA, NCC, LPC, ACS)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:ANN
Last Name:LITTLETON
Suffix:
Gender:F
Credentials:MA, NCC, LPC, ACS
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, NCC, LPC, ACS
Mailing Address - Street 1:32 20TH ST STE 500
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003-3747
Mailing Address - Country:US
Mailing Address - Phone:304-218-2023
Mailing Address - Fax:304-218-2026
Practice Address - Street 1:32 20TH ST STE 500
Practice Address - Street 2:
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003-3747
Practice Address - Country:US
Practice Address - Phone:304-218-2023
Practice Address - Fax:304-218-2026
Is Sole Proprietor?:No
Enumeration Date:2016-10-03
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC012359101YP2500X
WV294101YP2500X
WV2285101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV294OtherBOARD O EXAMINERS IN COUNSELING PROVISIONAL LICENSE