Raylyn Bunch, LRIC
Individual provider Active NPI Mental Health Counselor · Chesapeake, VA
NPI 1194500918 · NPPES record last updated Aug 29, 2023
Key facts
- NPI
- 1194500918
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 0704016222 (VA)
- Practice address
- 4037 Taylor Rd Ste a
Chesapeake, VA 23321-5500 - Phone
- (757) 777-9336
- NPI assigned
- Aug 29, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0704016222 | VA | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0704016222 | VA | Yes |
Addresses
Primary practice location
4037 Taylor Rd Ste a
Chesapeake, VA 23321-5500
Mailing address
7611 Sheryl Dr Apt 163
Norfolk, VA 23505-2355
Other providers in Chesapeake, VA
- Georgette Rosette Bullock
- Geranameo Vladmire Bullock
- Ayzia Bumbrey
- Diane Bumpers
- Elizabeth Nicole Bunch
- Joel T Bundy
- Lisa Bradley Bunting
- William Lamar Bunton Sr.
- Kendall Buonviri
- Jerry Burden
All providers in Chesapeake, VA · Mental Health Counselor in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.