Provider Demographics
NPI:1144886342
Name:HENDERSONVILLE COUNSELING, PLLC
Entity type:Organization
Organization Name:HENDERSONVILLE COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:Q
Authorized Official - Last Name:MAXEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-696-6985
Mailing Address - Street 1:350 CHADWICK AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28792-5773
Mailing Address - Country:US
Mailing Address - Phone:828-696-6985
Mailing Address - Fax:828-489-3001
Practice Address - Street 1:350 CHADWICK AVE STE 300
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-5773
Practice Address - Country:US
Practice Address - Phone:828-696-6985
Practice Address - Fax:828-489-3001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-13
Last Update Date:2020-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty