Provider Demographics
NPI:1649323510
Name:SENSBAUGH, MARK L (LMFT LPC)
Entity type:Individual
Prefix:
First Name:MARK
Middle Name:L
Last Name:SENSBAUGH
Suffix:
Gender:M
Credentials:LMFT LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:273 NEWMAN AVE
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-4027
Mailing Address - Country:US
Mailing Address - Phone:540-434-8450
Mailing Address - Fax:540-433-3805
Practice Address - Street 1:273 NEWMAN AVE
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-4027
Practice Address - Country:US
Practice Address - Phone:540-434-8450
Practice Address - Fax:540-433-3805
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0717000106101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
11690042OtherCACH PROVIDER ID
300878OtherANTHEM BLUE CROSS AND BLU