MR. WILLIE ALTON HENRY NPI 1689079113

NPI Information

NPI: 1689079113
Provider Name: MR. WILLIE ALTON HENRY
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
180 CENTRE ST
BROCKTON, MA
ZIP 02302
Phone: (617) 479-0102
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MR. Willie Alton Henry is an addiction (substance use disorder) counselor in Brockton, MA. MR. Willie Alton Henry NPI is 1689079113. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

180 CENTRE ST
BROCKTON, MA
ZIP 02302-733
Phone: (617) 479-0102
Fax: (617) 479-0427

The enumeration date for this NPI number is 10/27/2014 and was last updated on 10/27/2014.

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	License Number	License State	Primary
1	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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