MRS. SANDRA JACKSON HENRY NPI 1124476510

NPI Information

  • NPI: 1124476510
  • Provider Name: MRS. SANDRA JACKSON HENRY
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 879 NE MAIN ST STE A
    SIMPSONVILLE, SC
    ZIP 29681
  • Phone: (864) 688-9416

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NPI Details

MRS. Sandra Jackson Henry is a mental health counselor in Simpsonville, SC. MRS. Sandra Jackson Henry NPI is 1124476510. 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:

879 NE MAIN ST STE A
SIMPSONVILLE, SC
ZIP 29681-056
Phone: (864) 688-9416
Fax: (844) 300-6266

The enumeration date for this NPI number is 5/26/2016 and was last updated on 8/4/2023.

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
1101Y00000XCounselor8841SOUTH CAROLINANo
2101YP2500XCounselorProfessional8841SOUTH CAROLINANo
3101YM0800XCounselorMental Health8841SOUTH CAROLINAYes

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: 11/21/2025

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