Lisa Henderson, is a
Community Health Worker based in Brigham City, Utah. Lisa Henderson is licensed to practice in * (Not Available) (license number ) and her current practice location is
35 Skyline Dr, Brigham City, Utah. She can be reached at her office (for appointments etc.) via phone at
(801) 255-5131.
NPI number for Lisa Henderson is 1528439387 and her current mailing address is 6013 S Redwood Rd, Taylorsville, Utah. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1528439387.
Healthcare Provider's Profile
Full Name | Lisa Henderson |
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Gender | Female |
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Speciality | Community Health Worker |
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Location | 35 Skyline Dr, Brigham City, Utah |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1528439387
- Provider Enumeration Date: 10/19/2015
- Last Update Date: 05/18/2023
Medical Identifiers
Medical identifiers for Lisa Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528439387 | NPI | - | NPPES |
1104119619 | Other | | MENTAL HEALTH INTERN |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 8479511-6006 (Utah) | Secondary |
172V00000X | Community Health Worker | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa Henderson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Lisa Henderson, 6013 S Redwood Rd, Taylorsville, UT 84123-5220 Ph: () - | Lisa Henderson, 35 Skyline Dr, Brigham City, UT 84302-6772 Ph: (801) 255-5131 |
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