Provider Demographics
NPI:1699748673
Name:LLOBELL, LAUREL N (LPC)
Entity type:Individual
Prefix:MS
First Name:LAUREL
Middle Name:N
Last Name:LLOBELL
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 1:770 LYNNHAVEN PARKWAY
Mailing Address - Street 2:SUITE 240
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452
Mailing Address - Country:US
Mailing Address - Phone:757-962-2780
Mailing Address - Fax:757-240-5936
Practice Address - Street 1:770 LYNNHAVEN PARKWAY
Practice Address - Street 2:SUITE 240
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452
Practice Address - Country:US
Practice Address - Phone:757-962-2780
Practice Address - Fax:757-240-5936
Is Sole Proprietor?:No
Enumeration Date:2006-02-09
Last Update Date:2013-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701003232101YP2500X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
089390OtherSENTARA OPTIMA
VA005413664Medicaid
2122755OtherMAMSI
327268OtherMANAGED HEALTH NETWORK
436344OtherBCBS
436344OtherANTHEM PPO
470669OtherMAGELLAN
202397OtherCOM PSYCH
4636344OtherANTHEM HEALTH KEEPERS