MEDICARE: MRS. MERCY SOUDER ED.S

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	0701004344	VA

General Provider Information

NPI Number	:	1528391224
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MERCY SOUDER ED.S

Provider Business Mailing Address
First Line	:	9 COURT SQ STE 1
Second Line	:
City	:	HARRISONBURG
State	:	VA
Zip	:	22801-4166
Country	:	US
Telephone Number	:	540-216-0044
Fax Number	:	540-434-2883

Provider Business Practice Location Address
First Line	:	9 COURT SQ OFC 1
Second Line	:	OFFICE 1
City	:	HARRISONBURG
State	:	VA
Zip	:	22801
Country	:	US
Telephone Number	:	540-820-7850
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/12/2009
Last Update Date	:	06/12/2026

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