Individual
TAYLECE HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDCP
Contact information
Practice address
66 BURNETT ST, PROVIDENCE, RI 02907-2527
(401) 785-0050
Mailing address
178 ASH ST, NEW BEDFORD, MA 02740-3645
(774) 994-9460
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDP01077
RI
Other
Enumeration date
12/05/2025
Last updated
12/05/2025
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