Provider Demographics
NPI:1720412182
Name:HERRON COUNSELING, INC
Entity Type:Organization
Organization Name:HERRON COUNSELING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SONIA
Authorized Official - Middle Name:JACQUELINE
Authorized Official - Last Name:HERRON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:540-484-8484
Mailing Address - Street 1:95 MAPLE AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:VA
Mailing Address - Zip Code:24151-1550
Mailing Address - Country:US
Mailing Address - Phone:540-484-8484
Mailing Address - Fax:540-484-8808
Practice Address - Street 1:95 MAPLE AVE
Practice Address - Street 2:SUITE B
Practice Address - City:ROCKY MOUNT
Practice Address - State:VA
Practice Address - Zip Code:24151-1550
Practice Address - Country:US
Practice Address - Phone:540-484-8484
Practice Address - Fax:540-484-8808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-21
Last Update Date:2013-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0904007570251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health