| Marion Robert Henderson, | |
|
409 Simpkins St, Edgefield, SC 29824-1313 | |
| (803) 637-5338 | |
| (803) 637-0753 |
| Full Name | Marion Robert Henderson |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 409 Simpkins St, Edgefield, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942392295 | NPI | - | NPPES |
| 421504 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Marion Robert Henderson, 1547 Parkway, Suite100, Greenwood, SC 29646-4081 Ph: (864) 229-7120 | Marion Robert Henderson, 409 Simpkins St, Edgefield, SC 29824-1313 Ph: (803) 637-5338 |
Mrs. Gail Butler Smith, M. ED., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 409 Simpkins St, Edgefield, SC 29824 Phone: 803-637-5788 Fax: 803-637-0753 | |
Ms. Carole Ann Chidley, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 409 Simpkins St, Edgefield, SC 29824 Phone: 803-637-5788 Fax: 803-637-0753 | |
Ms. Myrdis Y. Sheppard, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 409 Simpkins St, Edgefield, SC 29824 Phone: 803-637-5338 Fax: 803-637-0753 | |
Latasha Broomfield, MA, LPC, NCC, CACI Counselor Medicare: Not Enrolled in Medicare Practice Location: 409 Simpkins St, Edgefield, SC 29824 Phone: 803-637-5788 | |
Ms. Winifred Jean Eubanks, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 409 Simpkins St, Edgefield, SC 29824 Phone: 803-637-5788 | |
Mrs. Cheryl H Lindler, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 409 Simpkins St, Edgefield, SC 29824 Phone: 803-637-5788 Fax: 803-637-0753 | |
Ms. Sherry Leigh Paschal, CPSS Counselor Medicare: Not Enrolled in Medicare Practice Location: 409 Simpkins St, Edgefield, SC 29824 Phone: 803-637-7588 |