| Henderson Behavioral Health, Inc. | |
|
330 Sw 27th Ave Ft Lauderdale FL 33312-2051 | |
| (954) 497-3856 | |
| (954) 497-2901 |
| Full Name | Henderson Behavioral Health, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 330 Sw 27th Ave, Ft Lauderdale, Florida |
| Authorized Official Name and Position | Carol Loman (BILLING SUPERVISOR) |
| Authorized Official Contact | 9544973856 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Henderson Behavioral Health, Inc. 4740 N State Road 7 Ste 201 Lauderdale Lakes FL 33319-5839 Ph: (954) 881-2386 | Henderson Behavioral Health, Inc. 330 Sw 27th Ave Ft Lauderdale FL 33312-2051 Ph: (954) 497-3856 |
| NPI Number | 1497337570 |
|---|---|
| Provider Enumeration Date | 04/27/2021 |
| Last Update Date | 04/27/2021 |
| Certification Date | 04/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497337570 | NPI | - | NPPES |
| 060338400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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