Henderson, Joann H.
Henderson, Joann H. is an sole proprietor health care provider with primary practice located at 409 Brethren Rd , Broadway VA 22815-2847. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Agencies / Community/Behavioral Health. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Henderson, Joann H. can be contacted via phone (540) 476-1482.Contact Information
Primary practice address
409 Brethren Rd
Broadway VA 22815-2847
Phone: (540) 476-1482
Fax: (540) 896-3209
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0701004506 | Virginia |
| Agencies / Community/Behavioral Health | 251S00000X |
Profile Details
| NPI number | 1235106469 |
|---|---|
| LBN Legal business name | Henderson, Joann H. |
| Credentials | BSW, MA, LPC, QMRP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 7th, 2006 |
| Last updated | Feb 11th, 2009 - about 15 years 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 | 1235106469 | NPPES |
| Virginia | MEDICAID | 4946995 |
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