Karena Heyward
Individual provider Active NPI Professional Counselor · Palmyra, VA
NPI 1760022008 · NPPES record last updated Feb 12, 2020
Key facts
- NPI
- 1760022008
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 0701005408 (VA)
- Practice address
- 55 Lafayette Dr
Palmyra, VA 22963-3001 - Phone
- (804) 926-7526
- NPI assigned
- Jan 15, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701005408 | VA | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701005408 | VA | Yes |
Addresses
Primary practice location
55 Lafayette Dr
Palmyra, VA 22963-3001
Mailing address
2150 Wise St. #4786
Charlottesville, VA 22905-1224
Phone (804) 767-7663
Other providers in Palmyra, VA
- Doreen Gullo
- Rebekah K Guthrie
- Martha Hardwick
- Kaitlyn Harlow-Burner
- Jessica Lynn Harlow-Wood
- Lucy Little Hill
- Mark Hineline
- Savannah House
- Laura C Howard
- Marko Ilich
All providers in Palmyra, VA · Professional 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 Feb 12, 2020. 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.