# KYWINA M HENDERSON PROFESSIONAL ADVANCED PRACTICE NURSING CORPORAT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** All Kynd Behavioral Health & Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548049265
- **Authorized official:** KYWINA MARIE HENDERSON RN, PMHNP (OWNER CEO PMHNP)
- **Authorized official phone:** (909) 788-4638

## Contact information

- **Practice address:** 1112 DANIELS ST STE 10, VANCOUVER, WA 98660-3063
- **Practice address phone:** (818) 305-6061
- **Mailing address:** 1112 DANIELS ST STE 10, VANCOUVER, WA 98660-3063
- **Mailing address phone:** (425) 728-2721
- **Mailing address fax:** (425) 490-6547

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/22/2023
- **Last updated:** 10/21/2024