THE HENDERSON CLINIC LLC (NPI# 1275726614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275726614 |
| Entity Type | Organization |
| Organization Name | THE HENDERSON CLINIC LLC |
| Practice Address |
359 Towne Center Blvd Suite 601 Ridgeland MS 39157-4868 |
| Practice Telephone | 6015728686 |
| Practice Fax Number | 6015728685 |
| Mailing Telephone | 6015728686 |
| Mailing Fax Number | 6015728685 |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2007-08-20 |
| Authorized Official Name | DR. ELIZABETH CONNELL HENDERSON (MANAGING MEMBER) |
| Authorized Official Telephone | 6015728686 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
MS | Ambulatory Health Care Facilities |
| Street Address |
359 TOWNE CENTER BLVD SUITE 601 |
| City | RIDGELAND |
| State | MS |
| Zip Code | 39157-4868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952448524 | James Keeton Henderson | Counselor | 359 Towne Center Blvd, Suite 601, Ridgeland, MS 39157-4862 | 2007-01-31 |
| 1881884559 | A Turning Point Recovery | Community/Behavioral Health | 359 Towne Center Blvd, Suite 602, Ridgeland, MS 39157-4868 | 2007-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124631023 | Mychell Thomas | Licensed Practical Nurse | 199 Charmant Place, Ridgeland, MS 39157 | 2020-08-28 |
| 1225680945 | Verthena Edwards | Home Health | 301 Pinehurst Cir, N/a, Ridgeland, MS 39157 | 2019-07-12 |
| 1730663469 | Essential Touchtones | Psychologist | 210 W. Jackson Street, Ridgeland, MS 39157 | 2018-09-19 |
| 1841786365 | Whitney Paige Crum | Speech-Language Pathologist | Laskin Therapy Group Pa, 207 W Jackson St, Ridgeland, MS 39157 | 2018-07-09 |
| 1811487002 | Camille Brockett | Social Worker | 270 Trace Colony Park Dr Ste B, Ridgeland, MS 39157 | 2018-05-14 |
| 1588171177 | Layson Counseling Group, Pllc | Counselor | 573 Hwy 51 Suite B, Ridgeland, MS 39157 | 2018-01-04 |
| 1407376452 | Mobility Rehab LLC | Clinic/Center | 745 S Pear Orchard Road, Apt 335, Ridgeland, MS 39157 | 2017-06-21 |
| 1184165102 | Sinus and Allergy Institute Pllc | Otolaryngology | 1115 Highland Colony Parkway, Suite C, Ridgeland, MS 39157 | 2017-03-09 |
| 1093263410 | Natural Health Project LLC | General Practice | 555 Highway 51, Ridgeland, MS 39157 | 2016-09-14 |
| 1851755714 | Jerlunda Lynn Dudley | Social Worker | 511 Clark Street, Rosedale, MS 39157 | 2016-04-07 |
| Find all providers in zip 39157 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043819717 | G.f. Televet | Clinic/Center | 665 S Pear Orchard Rd Ste 106-591, Ridgeland, MS 39157-4861 | 2020-10-22 |
| 1295363448 | Golden Aura Counseling and Wellness | Clinic/Center | 1000 Highland Colony Pkwy, Ridgeland, MS 39157-2073 | 2020-03-31 |
| 1740810712 | Jordan Counseling Services, LLC | Clinic/Center | 1000 Highland Colony Pkwy Ste 5203, Ridgeland, MS 39157-2079 | 2020-01-18 |
| 1891046116 | American Psych Associates, Inc | Clinic/Center | 601 Renaissance Way, Ridgeland, MS 39157-6038 | 2012-09-26 |
| 1427344928 | American Psych Associates, Inc. | Clinic/Center | 299 Highway 51, Suite F2, Ridgeland, MS 39157-3424 | 2011-06-22 |
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| 1427693944 | Green Spot Wellbeing LLC | Clinic/Center | 100 Front Ave, Indianola, MS 38751-2461 | 2019-11-07 |
| 1164071981 | Community Care Group LLC | Clinic/Center | 54 E Franklin St, Natchez, MS 39120-3665 | 2019-09-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.