# HENDERSON BEHAVIORAL HEALTH, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043880156
- **Authorized official:** CAROL LOMAN (BILLING SUPERVISOR)
- **Authorized official phone:** (954) 497-3856

## Contact information

- **Practice address:** 4720 N STATE ROAD 7 BLDG B, LAUDERDALE LAKES, FL 33319-5860
- **Practice address phone:** (954) 485-8888
- **Practice address fax:** (954) 497-3856
- **Mailing address:** 4740 N STATE ROAD 7 STE 201, LAUDERDALE LAKES, FL 33319-5839
- **Mailing address phone:** (954) 497-3856
- **Mailing address fax:** (954) 497-3857

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/30/2021
- **Last updated:** 06/30/2021