Organization
G. HENDERSON COUNSELING & CONSULTING SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GENEVA A HENDERSON LPC (OWNER)
(252) 503-3572
Entity
Organization
Contact information
Practice address
162 LEADOFF DR, MYRTLE BEACH, SC 29588-5565
(252) 503-3572
Mailing address
2510 CAPROCK CT, CHARLOTTE, NC 28213-5260
(252) 503-3572
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9706
LPC
NC
Enumeration date
01/06/2020
Last updated
11/27/2024
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