Provider Demographics
NPI:1538293253
Name:HENDRIX, GENEVIEVE WOOLSEY (MED, LPC)
Entity Type:Individual
Prefix:MS
First Name:GENEVIEVE
Middle Name:WOOLSEY
Last Name:HENDRIX
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 193
Mailing Address - Street 2:
Mailing Address - City:SAINT JAMES
Mailing Address - State:MO
Mailing Address - Zip Code:65559-0193
Mailing Address - Country:US
Mailing Address - Phone:573-690-3060
Mailing Address - Fax:
Practice Address - Street 1:16050 PRIVATE DRIVE 3398
Practice Address - Street 2:
Practice Address - City:SAINT JAMES
Practice Address - State:MO
Practice Address - Zip Code:65559-6161
Practice Address - Country:US
Practice Address - Phone:573-690-3060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO002007101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional