MRS. SUSAN CARROLL HENDERSON


Address: 2316 Atherholt Rd, Suite 107, Lynchburg, VA 24501-2100
Phone: 4345280184

MRS. SUSAN CARROLL HENDERSON (NPI# 1588629752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588629752
Entity Type Individual
Full Name MRS. SUSAN CARROLL HENDERSON
Credential M. ED., LPC
Practice Address 2316 Atherholt Rd
Suite 107
Lynchburg
VA 24501-2100
Mailing Address 114 Boonsboro Dr
Lynchburg
VA 24503-2102
Practice Telephone 4345280184
Mailing Telephone 4343840206
Enumeration Date 2006-04-19
Last Update Date 2007-07-09
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
0701002960 VA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
VA CAQH 11526313 01
VA 5410282 05
VA 5410657 05

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Office Location

Street Address 2316 ATHERHOLT RD
SUITE 107
City LYNCHBURG
State VA
Zip Code 24501-2100

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891852786 Vicky Lynn Cash Nurse Practitioner 2316 Atherholt Rd, Lynchburg, VA 24501-2100 2007-01-02
1669546875 Mental Health America of Central Virginia Counselor 2316 Atherholt Rd, Suite 206, Lynchburg, VA 24501-2100 2006-11-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1548732795 Morgan Rose Nails Chiropractor 3012 Forest Hills Circle, Lynchburg, VA 24501 2018-12-28
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1427578335 Vinh Thinh T Huynh Family Medicine 2323 Memorial Avenue, Suite #10, Lynchburg, VA 24501 2017-06-21
1811436769 Jordan Legendre Student in an Organized Health Care Education/Training Program 2900 Weeping Willow Drive, Apt. I, Lynchburg, VA 24501 2017-02-13
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598362097 Erin Ashley Winters Counselor 371 Oakdale Cir, Lynchburg, VA 24502-7348 2020-10-07
1023635612 Kaitlyn Alise Carney Counselor 1610 Graves Mill Rd Unit A, Lynchburg, VA 24502-4329 2020-06-29
1588206643 Jennifer Leigh Owen Counselor 1621 Enterprise Dr, Lynchburg, VA 24502-5797 2019-10-10
1184273088 Alicia Dominque Saunders Counselor 25 Lewis Way, Lynchburg, VA 24502-3607 2019-09-04
1891353835 Robin Carol Conrad Counselor 2600 Memorial Ave Ste 103, Lynchburg, VA 24501-2658 2019-06-04
1033684899 Krystal Jade Mattox Counselor 1621 Enterprise Dr Ofc 5, Lynchburg, VA 24502-5797 2018-10-09
1205301116 Resto Family Services Counselor 117a Tradewynd Dr Ste 115a, Lynchburg, VA 24502-3112 2018-10-06
1538659669 Taylor Hiers Counselor 1000 Jefferson St Ste 2c, Lynchburg, VA 24504-1724 2018-05-15
1427551514 Safe Haven Counseling, Inc. Counselor 642 Crowell Ln, Lynchburg, VA 24502-5572 2018-03-14
1376086827 Michelle Dillan Smith Counselor 22174 Timberlake Road, Suite D, Lynchburg, VA 24502 2016-11-30
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Competitor

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City LYNCHBURG
Zip Code 24501

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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