Individual provider · Type 1 NPI

Lakeisha T. Henderson, B.S.W

Mental Health Counselor · St. Petersburg, FL

NPI number 1962553016 Active

Practice location

4024 Central Ave
St. Petersburg, FL 33711-1239

Fax (727) 323-8978

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1962553016

Lakeisha T. Henderson, B.S.W's National Provider Identifier is 1962553016, issued on Jan 16, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Petersburg, FL. The record was last updated on Jul 8, 2007.