Provider Demographics
NPI:1558993550
Name:OLNEY, DEANNA ETTER (MSW, LMHP-S)
Entity Type:Individual
Prefix:MRS
First Name:DEANNA
Middle Name:ETTER
Last Name:OLNEY
Suffix:
Gender:F
Credentials:MSW, LMHP-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:504 23RD ST NW
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24017-5414
Mailing Address - Country:US
Mailing Address - Phone:540-345-2606
Mailing Address - Fax:540-345-2608
Practice Address - Street 1:504 23RD ST NW
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24017-5414
Practice Address - Country:US
Practice Address - Phone:540-345-2606
Practice Address - Fax:540-345-2608
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-07
Last Update Date:2020-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0906009916101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health