Individual provider · Type 1 NPI

Taylece Henderson, LDCP

Addiction (Substance Use Disorder) Counselor · Providence, RI

NPI number 1053274118 Active

Practice location

66 Burnett St
Providence, RI 02907-2527

Call (401) 785-0050 Map

Mailing address

178 Ash St
New Bedford, MA 02740-3645

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDP01077 (RI)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1053274118

Taylece Henderson, LDCP's National Provider Identifier is 1053274118, issued on Dec 5, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Providence, RI. The record was last updated on Dec 5, 2025.