Provider Demographics
NPI:1629166970
Name:HENNIES-WEBB, SANDRA E (LMFT)
Entity Type:Individual
Prefix:MS
First Name:SANDRA
Middle Name:E
Last Name:HENNIES-WEBB
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MS
Other - First Name:SANDRA
Other - Middle Name:E
Other - Last Name:HENNIES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT
Mailing Address - Street 1:906 BURWELL LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29205-2118
Mailing Address - Country:US
Mailing Address - Phone:803-787-3130
Mailing Address - Fax:803-787-3140
Practice Address - Street 1:906 BURWELL LN
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29205-2118
Practice Address - Country:US
Practice Address - Phone:803-787-3130
Practice Address - Fax:803-787-3140
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC0056106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist