| Misty Cox Henderson, Lcsw, Llc | |
|
602 Radford St Christiansburg VA 24073-3303 | |
| (540) 230-8589 | |
| Not Available |
| Full Name | Misty Cox Henderson, Lcsw, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 602 Radford St, Christiansburg, Virginia |
| Authorized Official Name and Position | Misty Cox Henderson (LCSW, LLC) |
| Authorized Official Contact | 5402308589 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Misty Cox Henderson, Lcsw, Llc 1010 Custis St Radford VA 24141-2718 Ph: () - | Misty Cox Henderson, Lcsw, Llc 602 Radford St Christiansburg VA 24073-3303 Ph: (540) 230-8589 |
| NPI Number | 1295358638 |
|---|---|
| Provider Enumeration Date | 05/20/2020 |
| Last Update Date | 05/20/2020 |
| Certification Date | 05/20/2020 |
| Medicare PECOS PAC ID | 0042636300 |
|---|---|
| Medicare Enrollment ID | O20200817003386 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295358638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Misty S Cox Henderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225659113 PECOS PAC ID: 1850717117 Enrollment ID: I20200817003527 |
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