JOHNASTASIA LILLIAN HENDERSON MS NPI 1003452640

NPI Information

NPI: 1003452640
Provider Name: JOHNASTASIA LILLIAN HENDERSON, MS
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
33 OAK AVE
WORCESTER, MA
ZIP 01605
Phone: (774) 402-8800
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Johnastasia Lillian Henderson, MS is an addiction (substance use disorder) counselor in Worcester, MA. Johnastasia Lillian Henderson, MS NPI is 1003452640. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

33 OAK AVE
WORCESTER, MA
ZIP 01605-752
Phone: (774) 402-8800
Fax: (774) 420-2804

The enumeration date for this NPI number is 11/19/2019 and was last updated on 11/19/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101Y00000X	Counselor		No
2	101YM0800X	Counselor	Mental Health	No
3	101YA0400X	Counselor	Addiction (Substance Use Disorder)	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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