Tanisha Renette Valenzuela-Landrum, MS, LMHP-R
Individual provider Active NPI Mental Health Counselor · Axton, VA
NPI 1023801099 · NPPES record last updated May 23, 2025
Key facts
- NPI
- 1023801099
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 0704015705 (VA)
- Practice address
- 1315 Cobbs Knob Rd
Axton, VA 24054-1840 - Phone
- (434) 228-8415
- Fax
- (434) 228-8415
- NPI assigned
- May 23, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0704015705 | VA | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0704015705 | VA | Yes |
Addresses
Primary practice location
1315 Cobbs Knob Rd
Axton, VA 24054-1840
Mailing address
1315 Cobbs Knob Rd
Axton, VA 24054-1840
Phone (434) 228-8415
Other providers in Axton, VA
- Pamela Sue Robertson
- Sandy River Family Care Inc
- Smith'S Home for Adults
- Tender Loving Care
- The Barrow Center
- Kevin Wayne Warren
- Emily Brooke Warrick
- Melody Wood
- Rodney Wood
All providers in Axton, VA · Mental Health Counselor in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.