Provider Demographics
NPI:1588605083
Name:HENEBERGER, BELLE G (LMHC)
Entity Type:Individual
Prefix:MS
First Name:BELLE
Middle Name:G
Last Name:HENEBERGER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3350 PINE VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-4331
Mailing Address - Country:US
Mailing Address - Phone:941-926-9262
Mailing Address - Fax:941-927-0481
Practice Address - Street 1:3350 PINE VALLEY DR
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-4331
Practice Address - Country:US
Practice Address - Phone:941-926-9262
Practice Address - Fax:941-927-0481
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 6782101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health