Provider Demographics
NPI:1043733165
Name:HENNE, LORA BETH (MS, NCC)
Entity Type:Individual
Prefix:MRS
First Name:LORA
Middle Name:BETH
Last Name:HENNE
Suffix:
Gender:F
Credentials:MS, NCC
Other - Prefix:
Other - First Name:LORA
Other - Middle Name:
Other - Last Name:SEIVERLING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1120 HOBART AVE STE C
Mailing Address - Street 2:
Mailing Address - City:WYOMISSING
Mailing Address - State:PA
Mailing Address - Zip Code:19610-2028
Mailing Address - Country:US
Mailing Address - Phone:610-371-8035
Mailing Address - Fax:610-685-2679
Practice Address - Street 1:1120 HOBART AVE STE C
Practice Address - Street 2:
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610-2028
Practice Address - Country:US
Practice Address - Phone:610-371-8035
Practice Address - Fax:610-685-2679
Is Sole Proprietor?:No
Enumeration Date:2017-07-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional