Individual
HEATHER HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, MCAP
Contact information
Practice address
1 DAVIS BLVD, TAMPA, FL 33606-3463
(813) 766-0541
Mailing address
9308 FORGE BREEZE LOOP, WESLEY CHAPEL, FL 33545-2335
(239) 634-9872
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAP.0100443
FL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
MCAP.0101270
FL
Other
Enumeration date
06/27/2025
Last updated
04/13/2026
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