Miss Eletha Lajewell Henderson, MHPP is a
Case Manager/care Coordinator based in Jacksonville, Arkansas. Miss Eletha Lajewell Henderson is licensed to practice in * (Not Available) (license number ) and her current practice location is
2126 N 1st Street, Suite F, Jacksonville, Arkansas. She can be reached at her office (for appointments etc.) via phone at
(501) 982-5000.
NPI number for Miss Eletha Lajewell Henderson is 1548500424 and her current mailing address is 1815 Pleasant Grove Road, Jonesboro, Arkansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548500424.
Healthcare Provider's Profile
| Full Name | Miss Eletha Lajewell Henderson |
|---|
| Gender | Female |
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| Speciality | Case Manager/care Coordinator |
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| Location | 2126 N 1st Street, Jacksonville, Arkansas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1548500424
- Provider Enumeration Date: 02/28/2013
- Last Update Date: 10/04/2017
Medical Identifiers
Medical identifiers for Miss Eletha Lajewell Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548500424 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (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. Miss Eletha Lajewell 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 |
|---|
Miss Eletha Lajewell Henderson, MHPP
1815 Pleasant Grove Road,
Jonesboro, AR 72404
Ph: (870) 933-6886 | Miss Eletha Lajewell Henderson, MHPP
2126 N 1st Street, Suite F,
Jacksonville, AR 72076-5323
Ph: (501) 982-5000 |
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