Individual provider · Type 1 NPI

Antoine Maurice Henderson

Peer Specialist · Columbus, OH

NPI number 1619773538 Active

Practice location

815 W Broad St Ste 200
Columbus, OH 43222-1465

Call (216) 302-5757 Map

Mailing address

744 Nova Ct
Worthington, OH 43085-3474

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XAPS.005688 (OH)
Addiction (Substance Use Disorder) Counselor 101YA0400XCDCA191060 (OH)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1619773538

Antoine Maurice Henderson's National Provider Identifier is 1619773538, issued on Feb 21, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Columbus, OH. The record was last updated on Dec 12, 2025.