MS. JEANETTE HENDERSON (NPI# 1770025256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770025256 |
Entity Type | Individual |
Full Name | MS. JEANETTE HENDERSON |
Practice Address |
2525 Youree Dr Shreveport LA 71104-3671 |
Mailing Address |
2525 Youree Dr. Suite Shreveport LA 71104 |
Practice Telephone | 3187423408 |
Mailing Telephone | 3187423408 |
Enumeration Date | 2016-11-15 |
Last Update Date | 2016-11-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659624385 | Jeanette Lorinne Henderson | Physical Therapy Assistant | 40680 California Oaks Rd, Suite 2a, Murrieta, CA 92562-5753 | 2012-10-18 |
Street Address |
2525 YOUREE DR |
City | SHREVEPORT |
State | LA |
Zip Code | 71104-3671 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427137074 | Rehabilitation Services of Northwest Louisiana, LLC | Clinic/Center | 2525 Youree Dr, Suite 110, Shreveport, LA 71104-3600 | 2006-11-03 |
1578072740 | Darrell Dewarren Scott | Counselor | 2525 Youree Dr, 110, Shreveport, LA 71104 | 2017-09-20 |
1952832248 | Catherine Michelle Buffington | Counselor | 2525 Youree Dr, Suite 110, Shreveport, LA 71104 | 2017-03-27 |
1265972095 | Jan E. Whitaker | Clinical Neuropsychologist | 2525 Youree Dr, Shreveport, LA 71104-3671 | 2017-02-27 |
1073056982 | Charlotte Thomas | Counselor | 2525 Youree Dr, Suite 110, Shreveport, LA 71104-3671 | 2016-11-25 |
1780127787 | Debra Meadors | Counselor | 2525 Youree Dr, Apt 54, Shreveport, LA 71104-3671 | 2016-11-22 |
1598215592 | Irene Kien Che | Counselor | 2525 Youree Dr, Suite 110, Shreveport, LA 71104-3671 | 2016-10-13 |
1235689829 | Randi Reyes | Social Worker | 2525 Youree Dr, Ste 110, Shreveport, LA 71104-3671 | 2016-10-07 |
1952855967 | Carla Amer | Counselor | 2525 Youree Dr, Ste # 110, Shreveport, LA 71104-3671 | 2016-08-08 |
1285188250 | Lacey Anne David | Counselor | 2525 Youree Dr, Suite 110, Shreveport, LA 71104-3671 | 2016-08-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326582263 | Dana Jackson | Counselor | 2425 Youree Drive, Shreveport, LA 71104 | 2016-12-12 |
1154772929 | Belena Cawthorne | Case Manager/Care Coordinator | 2040 Southern Ave, Shreveport, LA 71104 | 2016-06-23 |
1437505286 | Courtney Espenan | Counselor | 3825 Gilbert Dr Ste 124, Shreveport, LA 71104 | 2016-05-11 |
1215390497 | Joshua Mitchell | Counselor | 1106 Dalzell Street, Shreveport, LA 71104 | 2016-04-04 |
1699135426 | Amy Lutricia Krohn | Counselor | 1041 Dalzell St, Shreveport, LA 71104 | 2016-03-07 |
1225497779 | Annie Redding II | Counselor | 2525 Youree Dr Suite 110, Shreveport, LA 71104 | 2016-02-12 |
1891152328 | Council On Alcoholism and Drug Abuse of Northwest Louisiana | Community/Behavioral Health | 2000 Fairfield Ave, Shreveport, LA 71104 | 2016-01-28 |
1922465731 | Marteze Singleton | Case Manager/Care Coordinator | 2525 Youree Dr Ste 10, Shreveport, LA 71104 | 2016-01-25 |
1891160297 | Damara Mora | Counselor | 2620 Centenary Blvd Bldg3 Ste 312, Shreveport, LA 71104 | 2015-12-10 |
1962876250 | Chastity Shermaine Graham | Counselor | 2620 Centenary Blvd Ste 312, Shreveport, LA 71104 | 2015-11-24 |
Find all providers in zip 71104 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639786502 | Erik Rasmussen | Counselor | 670 Albemarle Dr Ste 700, Shreveport, LA 71106-5946 | 2020-09-25 |
1043842750 | Creative Community Counseling LLC | Counselor | 2920 Knight St Ste 131, Shreveport, LA 71105-2412 | 2020-02-11 |
1477191591 | Keona Chequise Kidd | Counselor | 2829 Dunlap St, Shreveport, LA 71103-2244 | 2019-12-19 |
1336781632 | A New Beginning Counseling Services, LLC | Counselor | 9441 Oleander Dr, Shreveport, LA 71118-4008 | 2019-10-08 |
1841840311 | Theresa Davidson Snow | Counselor | 820 Jordan St Ste 510w, Shreveport, LA 71101-4526 | 2019-09-17 |
1962057737 | Mariana Penny | Counselor | 152 E College St, Shreveport, LA 71104-2510 | 2019-08-07 |
1528622818 | Kendal Redel | Counselor | 10011 Hanover Dr, Shreveport, LA 71115-3430 | 2019-04-23 |
1962960351 | Brandon Lewis-graham | Counselor | 3201 Knight St Apt 2206, Shreveport, LA 71105-2749 | 2019-03-05 |
1699245928 | Misty Johnetta Ross | Counselor | 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 | 2018-11-29 |
1659840312 | Donna Brown Franks | Counselor | 236 E Gregg St, Shreveport, LA 71104-5119 | 2018-11-24 |
Find all providers in SHREVEPORT |
City | SHREVEPORT |
Zip Code | 71104 |
Please comment or provide details below to improve the information on MS. JEANETTE HENDERSON.
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.