Mr Jack J Henderson, LPC | |
1910 Westmead Drive, 3510, Houston, TX 77077-4724 | |
(832) 643-3256 | |
(281) 809-5854 |
Full Name | Mr Jack J Henderson |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 1910 Westmead Drive, Houston, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891983151 | NPI | - | NPPES |
112950407 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 11678 (Texas) | Primary |
106H00000X | Marriage & Family Therapist | 3334 (Texas) | Secondary |
Entity Name | My Bright Future, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225549413 PECOS PAC ID: 0648537936 Enrollment ID: O20171121002216 |
Mailing Address | Practice Location Address |
---|---|
Mr Jack J Henderson, LPC 1910 Westmead Drive, 3510, Houston, TX 77077-4724 Ph: (832) 643-3256 | Mr Jack J Henderson, LPC 1910 Westmead Drive, 3510, Houston, TX 77077-4724 Ph: (832) 643-3256 |
Dr. Dalia Mattis, ED D Counselor Medicare: Not Enrolled in Medicare Practice Location: 5450 Nw Central Dr Ste 109, Houston, TX 77092 Phone: 713-895-0062 Fax: 713-895-0062 | |
Mrs. Stella Adachi Offodirinwa, PLMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 9401 Southwest Fwy, Houston, TX 77074 Phone: 713-970-3344 | |
Dauphine Lashawn Billingsley, LPC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 6027 Quiet Village Ct, Houston, TX 77053 Phone: 281-835-0058 | |
Nakeisha Quian Washington, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5315b Cypress Creek Pkwy Ste 366, Houston, TX 77069 Phone: 832-850-6422 Fax: 832-850-7852 | |
Linda Carol Horton, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4314 Yoakum Blvd, Houston, TX 77006 Phone: 713-850-0049 Fax: 713-627-7302 | |
Jennifer Marie Marroquin, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8876 Gulf Fwy Ste 420, Houston, TX 77017 Phone: 713-527-8558 | |
Ms. Michele Jones Dial, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 611 W 22nd St Ste 100, Houston, TX 77008 Phone: 713-380-1151 |