Grogan, Jalieen Lacye

Grogan, Jalieen Lacye is an individual health care provider with primary practice located at 500 Old Lynchburg Rd , Charlottesville VA 22903-6500. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Grogan, Jalieen Lacye can be contacted via phone (434) 972-1800.

Contact Information

Primary practice address
500 Old Lynchburg Rd Charlottesville VA 22903-6500
Phone: (434) 972-1800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0701007964 Virginia

Profile Details

NPI number 1609434661
LBN Legal business name Grogan, Jalieen Lacye
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2019
Last updated Jun 4th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609434661 NPPES
Virginia MEDICAID 1942270699

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