Healthcare Provider Details

I. General information

NPI: 1235076530
Provider Name (Legal Business Name): BENDING REED COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 E MAIN ST STE 104D
SALEM VA
24153-3805
US

IV. Provider business mailing address

212 ACADEMY ST APT 2
SALEM VA
24153-3769
US

V. Phone/Fax

Practice location:
  • Phone: 540-404-1220
  • Fax: 540-861-3738
Mailing address:
  • Phone: 540-404-1220
  • Fax: 540-861-3738

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: SHANNON LEE BLAIR
Title or Position: OWNER/THERAPIST
Credential: LCSW
Phone: 540-404-1220