MARION ROBERT HENDERSON NPI 1942392295

NPI Information

  • NPI: 1942392295
  • Provider Name: MARION ROBERT HENDERSON
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 409 SIMPKINS ST
    EDGEFIELD, SC
    ZIP 29824
  • Phone: (803) 637-5338

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NPI Details

Marion Robert Henderson is a mental health counselor in Edgefield, SC. Marion Robert Henderson NPI is 1942392295. 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:

409 SIMPKINS ST
EDGEFIELD, SC
ZIP 29824-313
Phone: (803) 637-5338
Fax: (803) 637-0753

The enumeration date for this NPI number is 9/28/2006 and was last updated on 7/8/2007.

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
1101YM0800XCounselorMental HealthYes

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
13340MEDICARE ID-TYPE UNSPECIFIED
2421504MEDICAIDSOUTH CAROLINA

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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