Petrocci, Theo A
Petrocci, Theo A is an individual health care provider with primary practice located at 16 Walnut Ave Sw , Roanoke VA 24016-4719. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Petrocci, Theo A can be contacted via phone (540) 345-6468.Contact Information
Primary practice address
16 Walnut Ave Sw
Roanoke VA 24016-4719
Phone: (540) 345-6468
Fax: (540) 345-3204
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 0701000926 | Virginia |
Profile Details
| NPI number | 1922003458 |
|---|---|
| LBN Legal business name | Petrocci, Theo A |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2005 |
| Last updated | Jul 13th, 2026 - about 3 months 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 | 1922003458 | NPPES |
| Virginia | MEDICAID | 005401437 |
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