Individual
DONNELL HENLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 WAUGH ST, GREENSBORO, NC 27405-6074
(336) 617-8274
Mailing address
800 WAUGH ST, GREENSBORO, NC 27405-6074
(609) 433-6087
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL-041-1247
NC
Other
Enumeration date
06/16/2023
Last updated
07/25/2023
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