| Kendyl Hensley Llc | |
|
1697 Hawthorne Ln Prattville AL 36066-7346 | |
| (334) 569-5087 | |
| Not Available |
| Full Name | Kendyl Hensley Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1697 Hawthorne Ln, Prattville, Alabama |
| Authorized Official Name and Position | Kendyl Hensley (OWNER) |
| Authorized Official Contact | 3345695087 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kendyl Hensley Llc 1697 Hawthorne Ln Prattville AL 36066-7346 Ph: () - | Kendyl Hensley Llc 1697 Hawthorne Ln Prattville AL 36066-7346 Ph: (334) 569-5087 |
| NPI Number | 1881225738 |
|---|---|
| Provider Enumeration Date | 01/29/2020 |
| Last Update Date | 01/29/2020 |
| Certification Date | 01/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881225738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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