Provider Demographics
NPI:1528841251
Name:WORLEY, VIRGINIA LEE (MA)
Entity type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:LEE
Last Name:WORLEY
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2106 QUAIL RUN
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:TX
Mailing Address - Zip Code:78666-9495
Mailing Address - Country:US
Mailing Address - Phone:512-392-8106
Mailing Address - Fax:512-392-8090
Practice Address - Street 1:2106 QUAIL RUN
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-9495
Practice Address - Country:US
Practice Address - Phone:512-392-8106
Practice Address - Fax:512-392-8090
Is Sole Proprietor?:No
Enumeration Date:2023-08-16
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX92003101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional