Provider Demographics
NPI:1093454274
Name:SENSABAUGH, RENEE N (LPC)
Entity Type:Individual
Prefix:MRS
First Name:RENEE
Middle Name:N
Last Name:SENSABAUGH
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:RENEE
Other - Middle Name:
Other - Last Name:BEVERLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:144 WESTMINISTER DR
Mailing Address - Street 2:
Mailing Address - City:FISHERSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22939-2107
Mailing Address - Country:US
Mailing Address - Phone:540-256-7066
Mailing Address - Fax:
Practice Address - Street 1:25 STONERIDGE DR STE A03
Practice Address - Street 2:
Practice Address - City:WAYNESBORO
Practice Address - State:VA
Practice Address - Zip Code:22980-6582
Practice Address - Country:US
Practice Address - Phone:540-256-7066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-03
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701011446101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty