MS. WANDA CLARICE BROCK LPC
NPI 1912112699
Counselor - Professional in Henderson, NC

Active since May 14, 2007
510 DABNEY DR, HENDERSON, NC 27536(252) 431-0072(252) 431-0490 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Wanda Clarice Brock Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. WANDA CLARICE BROCK LPC (NPI 1912112699) is an individual professional provider in Henderson, North Carolina, licensed in North Carolina (4481) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1912112699
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. WANDA CLARICE BROCKCredential: LPC
Location Address510 DABNEY DRHenderson, NC 27536-3946
Mailing Address3129 Marengo RdLa Crosse, VA 23950-2420 · (434) 636-2792
Fax(252) 431-0490
Sole ProprietorYes
Enumeration DateMay 14, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1912112699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in NC · 4481
510 DABNEY DR, Henderson, NC 27536

Other Identifiers 1

Medicaid6102736NC

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
510 DABNEY DR
HENDERSON, NC 27536
Community/Behavioral Health
510 DABNEY DR
HENDERSON, NC 27536
Psychiatric Hospital
510 DABNEY DR
HENDERSON, NC 27536
Counselor (Professional)
510 DABNEY DR
HENDERSON, NC 27536
Community/Behavioral Health
510 DABNEY DR
HENDERSON, NC 27536
Social Worker (Clinical)
510 DABNEY DR
HENDERSON, NC 27536
Community/Behavioral Health
510 DABNEY DR
HENDERSON, NC 27536
Clinic/Center (Methadone)
510 DABNEY DR, SUITE B
HENDERSON, NC 27536

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wanda Brock's NPI number?

The NPI number for Wanda Brock is 1912112699. It was assigned to this individual provider in the NPPES registry on May 14, 2007.

Where is Wanda Brock located?

Wanda Brock practices at 510 Dabney Dr, Henderson, NC 27536. The listed phone number is (252) 431-0072.

What is Wanda Brock's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Wanda Brock was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.