Provider Demographics
NPI:1447333653
Name:MCLENDON, LAVONNE D (LPC)
Entity type:Individual
Prefix:
First Name:LAVONNE
Middle Name:D
Last Name:MCLENDON
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:PO BOX 1997
Mailing Address - Street 2:
Mailing Address - City:PETERSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23805-0997
Mailing Address - Country:US
Mailing Address - Phone:804-732-1527
Mailing Address - Fax:804-732-8210
Practice Address - Street 1:43 RIVES RD
Practice Address - Street 2:SUITE B
Practice Address - City:PETERSBURG
Practice Address - State:VA
Practice Address - Zip Code:23805-9255
Practice Address - Country:US
Practice Address - Phone:804-728-2138
Practice Address - Fax:804-728-2138
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC08729OtherMEDICARE GROUP NUMBER
VA1477512416OtherGROUP NPI NUMBER