Healthcare Provider Details

I. General information

NPI: 1235106469
Provider Name (Legal Business Name): JOANN H. HENDERSON BSW, MA, LPC, QMRP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/07/2006
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1820 COUNTRY CLUB RD
HARRISONBURG VA
22802-8858
US

IV. Provider business mailing address

335 PARK AVE
BROADWAY VA
22815-0103
US

V. Phone/Fax

Practice location:
  • Phone: 540-476-1482
  • Fax:
Mailing address:
  • Phone: 540-476-1482
  • Fax: 540-896-3209

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701004506
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: