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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235106469 NPPES
Virginia MEDICAID 4946995

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