MEDICARE: SONIA JEAN DOWNING-HENSEL LCAS

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	LCAS-27021	NC

General Provider Information

NPI Number	:	1245977982
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SONIA JEAN DOWNING-HENSEL LCAS

Provider Business Mailing Address
First Line	:	1312 WESTGATE CENTER DR
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27103-2933
Country	:	US
Telephone Number	:	336-775-6686
Fax Number	:

Provider Business Practice Location Address
First Line	:	1312 WESTGATE CENTER DR
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27103-2933
Country	:	US
Telephone Number	:	336-999-3228
Fax Number	:	336-997-9788

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

Provider Enumeration Date	:	05/15/2022
Last Update Date	:	10/23/2025

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