Provider Demographics
NPI:1659580934
Name:HENNING, RHONDA E (LPC, NCC)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:E
Last Name:HENNING
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 ORCHARD DR
Mailing Address - Street 2:
Mailing Address - City:ELKVIEW
Mailing Address - State:WV
Mailing Address - Zip Code:25071-8014
Mailing Address - Country:US
Mailing Address - Phone:304-881-7548
Mailing Address - Fax:
Practice Address - Street 1:2424 CHARLESTON RD
Practice Address - Street 2:
Practice Address - City:POCA
Practice Address - State:WV
Practice Address - Zip Code:25159-2515
Practice Address - Country:US
Practice Address - Phone:304-519-0338
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVAP009423911041C0700X
WV2514104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical