Matheny, Lawrence Gerard

Matheny, Lawrence Gerard is an sole proprietor health care provider with primary practice located at 102 Heritage Way Ne Ste 302 , Leesburg VA 20176-4544. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Matheny, Lawrence Gerard can be contacted via phone (703) 771-5100.

Contact Information

Primary practice address
102 Heritage Way Ne Ste 302 Leesburg VA 20176-4544
Fax: (703) 777-0170
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701002520 Virginia
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0717000741 Virginia

Profile Details

NPI number 1396837613
LBN Legal business name Matheny, Lawrence Gerard
Credentials LPC, LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2006
Last updated Sep 11th, 2025 - about last year

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 1396837613 NPPES
Virginia Other 293858 AMERIGROUP
Virginia Other 335092 AMERIGROUP
Virginia Other 335093 AMERIGROUP

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