Provider Demographics
NPI:1679173603
Name:BEERS-WARMAN, TONYA (LPC)
Entity type:Individual
Prefix:
First Name:TONYA
Middle Name:
Last Name:BEERS-WARMAN
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:TONYA
Other - Middle Name:LEA
Other - Last Name:WARMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:2723 W GRACE ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23220-1912
Mailing Address - Country:US
Mailing Address - Phone:804-401-6947
Mailing Address - Fax:
Practice Address - Street 1:2723 W GRACE ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23220-1912
Practice Address - Country:US
Practice Address - Phone:804-401-6947
Practice Address - Fax:804-369-9709
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-28
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701008892101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1740879683Medicaid
VA1679173603Medicaid