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Organization

HENDERSON BEHAVIORAL HEALTH, INC.

Active
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Organization

HENDERSON BEHAVIORAL HEALTH, INC.

Active
Parent organization
HENDERSON BEHAVIORAL HEALTH, INC.
Other names
Central OP Location
Organization subpart
Yes

Provider details

NPI number
Legal business name
HENDERSON BEHAVIORAL HEALTH, INC.
Authorized official
CAROL LOMAN (BILLING SUPERVISOR)
(954) 497-3856
Entity
Organization

Contact information

Practice address
330 SW 27TH AVE, FT LAUDERDALE, FL 33312-2051
(954) 497-3856
(954) 497-2901
Mailing address
4740 N STATE ROAD 7 STE 201, LAUDERDALE LAKES, FL 33319-5839
(954) 881-2386

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
251S00000X
Community/Behavioral Health Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
060338400
FL
Enumeration date
04/27/2021
Last updated
04/27/2021
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