Provider Demographics
NPI:1437913860
Name:CHORZEMPA, SORAYDA FONTANA (LPC)
Entity type:Individual
Prefix:
First Name:SORAYDA
Middle Name:FONTANA
Last Name:CHORZEMPA
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 1:3267 HORIZON RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22902-6639
Mailing Address - Country:US
Mailing Address - Phone:540-435-7328
Mailing Address - Fax:
Practice Address - Street 1:233 HYDRAULIC RIDGE RD STE 204
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22901-8129
Practice Address - Country:US
Practice Address - Phone:540-435-7328
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-07
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701011763101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional