Provider Demographics
NPI:1346212206
Name:HUYARD, ROSE STOLTZFUS (LPC)
Entity type:Individual
Prefix:MS
First Name:ROSE
Middle Name:STOLTZFUS
Last Name:HUYARD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2283
Mailing Address - Street 2:
Mailing Address - City:STAUNTON
Mailing Address - State:VA
Mailing Address - Zip Code:24402-2283
Mailing Address - Country:US
Mailing Address - Phone:800-640-9032
Mailing Address - Fax:540-885-0534
Practice Address - Street 1:110 NEWMAN AVE
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-4004
Practice Address - Country:US
Practice Address - Phone:540-434-2800
Practice Address - Fax:540-434-2883
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-06
Last Update Date:2008-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701003183101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
213834OtherCOMPSYCH
VA080907MOtherSOUTHERN HEALTH
VA1346212206Medicaid
VA345751OtherANTHEM