Provider Demographics
NPI:1306098850
Name:HEARN, VIRGINIA LYNN (LPC)
Entity type:Individual
Prefix:MS
First Name:VIRGINIA
Middle Name:LYNN
Last Name:HEARN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:GINNY
Other - Middle Name:LYNN
Other - Last Name:HEARN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:217 EAST 52ND STREET
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405
Mailing Address - Country:US
Mailing Address - Phone:912-447-8386
Mailing Address - Fax:912-447-6857
Practice Address - Street 1:3025 BULL STREET
Practice Address - Street 2:SUITE 227
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405
Practice Address - Country:US
Practice Address - Phone:912-447-8386
Practice Address - Fax:912-447-6857
Is Sole Proprietor?:No
Enumeration Date:2008-10-15
Last Update Date:2011-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC004764101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional