Provider Demographics
NPI:1629106232
Name:HENSLRY, SANDRA G
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:G
Last Name:HENSLRY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3915 COVEY HOLLOW RD.
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:TN
Mailing Address - Zip Code:38401
Mailing Address - Country:US
Mailing Address - Phone:931-218-5213
Mailing Address - Fax:
Practice Address - Street 1:418 W 7TH ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:TN
Practice Address - Zip Code:38401-3135
Practice Address - Country:US
Practice Address - Phone:931-388-0078
Practice Address - Fax:931-388-6608
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor