Provider Demographics
NPI:1528347879
Name:THORP, VIRGINIA (LCPC)
Entity type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:
Last Name:THORP
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 RIVERBEND DR
Mailing Address - Street 2:
Mailing Address - City:YARMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04096-7742
Mailing Address - Country:US
Mailing Address - Phone:207-232-4090
Mailing Address - Fax:
Practice Address - Street 1:2 RIVERBEND DR
Practice Address - Street 2:
Practice Address - City:YARMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04096-7742
Practice Address - Country:US
Practice Address - Phone:207-232-4090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-04
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECC4299101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional