LATASHA SPENCER HENDERSON LICSW NPI 1093214181

NPI Information

  • NPI: 1093214181
  • Provider Name: LATASHA SPENCER HENDERSON, LICSW
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 5700 SERENE RIDGE CIR
    MC CALLA, AL
    ZIP 35111
  • Phone: (205) 540-4463

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NPI Details

Latasha Spencer Henderson, LICSW is a professional counselor in Mc Calla, AL. Latasha Spencer Henderson, LICSW NPI is 1093214181. 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:

5700 SERENE RIDGE CIR
MC CALLA, AL
ZIP 35111-204
Phone: (205) 540-4463

The enumeration date for this NPI number is 2/5/2018 and was last updated on 6/16/2018.

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
1101YP2500XCounselorProfessional4107CALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1$$$$$$$$$OTHERALABAMAN/A

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: 3/30/2025

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