Provider Demographics
NPI:1528644804
Name:TRYMAN, NEPHETIA E (LPC, LMHP)
Entity type:Individual
Prefix:
First Name:NEPHETIA
Middle Name:E
Last Name:TRYMAN
Suffix:
Gender:F
Credentials:LPC, LMHP
Other - Prefix:
Other - First Name:NEPHETIA
Other - Middle Name:
Other - Last Name:WHITTAKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1057 GRAVES ST
Mailing Address - Street 2:
Mailing Address - City:MARTINSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24112-4731
Mailing Address - Country:US
Mailing Address - Phone:276-790-7018
Mailing Address - Fax:
Practice Address - Street 1:1746 S MAIN ST
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:VA
Practice Address - Zip Code:24151-5974
Practice Address - Country:US
Practice Address - Phone:540-484-7041
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-18
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701010220101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional