Individual provider · Type 1 NPI

Tella Henderson

Mental Health Counselor · Shreveport, LA

NPI number 1760102172 Active

Practice location

7505 Pines Rd
Shreveport, LA 71129-3935

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X6822 (LA)

Mental Health Counselor: Definition to come...

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About NPI 1760102172

Tella Henderson's National Provider Identifier is 1760102172, issued on Aug 29, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shreveport, LA. The record was last updated on Aug 29, 2022.