Herron, James W

Herron, James W is an sole proprietor health care provider with primary practice located at 4346 Starkey Rd Suite 1, Roanoke VA 24018-0605. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Herron, James W can be contacted via phone (540) 772-8043.

Contact Information

Primary practice address
4346 Starkey Rd Suite 1 Roanoke VA 24018-0605
Phone: (540) 772-8043
Fax: (540) 772-8242
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701002200 Virginia
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0717000037 Virginia

Profile Details

NPI number 1497766216
LBN Legal business name Herron, James W
Credentials LPC, LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 2006
Last updated Sep 21st, 2009 - about 17 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 1497766216 NPPES
Virginia Other 240173 ANTHEM BCBS
Virginia MEDICAID 005400937 ANTHEM BCBS

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