Individual provider · Type 1 NPI

Wallisa Henderson

Mental Health Counselor · Midwest City, OK

NPI number 1861341398 Active

About NPI 1861341398

Wallisa Henderson's National Provider Identifier is 1861341398, issued on Jan 27, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Midwest City, OK. The record was last updated on Jan 27, 2026.