Ancellotti, Teresa Buchanan
Ancellotti, Teresa Buchanan is an sole proprietor health care provider with primary practice located at 1769 Jamestown Rd. Ste. 102 Jamestowne Professional Park, Williamsburg VA 23185. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Ancellotti, Teresa Buchanan can be contacted via phone (757) 608-8659.Contact Information
Primary practice address
1769 Jamestown Rd. Ste. 102 Jamestowne Professional Park
Williamsburg VA 23185
Phone: (757) 608-8659
Fax: (757) 932-6020
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0701002331 | Virginia |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0701092331 | Virginia |
| Behavioral Health & Social Service Providers / School | 103TS0200X | ||
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 0717000232 | Virginia |
Profile Details
| NPI number | 1396842043 |
|---|---|
| LBN Legal business name | Ancellotti, Teresa Buchanan |
| Credentials | PHD, LMFT, LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 17th, 2006 |
| Last updated | Feb 12th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396842043 | NPPES |
| Virginia | Other | 070916 | VALUE OPTIONS |
| Virginia | Other | 245771 | VALUE OPTIONS |
| Virginia | Other | 455651000 | VALUE OPTIONS |
| Virginia | Other | 52891 | VALUE OPTIONS |
| Virginia | Other | 081408 | VALUE OPTIONS |
| Virginia | Other | 100050909 | VALUE OPTIONS |
| Virginia | MEDICAID | 5414105 | VALUE OPTIONS |
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