Organization
THE HENDERSON CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH CONNELL HENDERSON MD (MANAGING MEMBER)
(601) 572-8686
Entity
Organization
Contact information
Practice address
359 TOWNE CENTER BLVD, SUITE 601, RIDGELAND, MS 39157-4868
(601) 572-8686
(601) 572-8685
Mailing address
359 TOWNE CENTER BLVD, SUITE 601, RIDGELAND, MS 39157-4868
(601) 572-8686
(601) 572-8685
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
MS
Other
Enumeration date
08/20/2007
Last updated
08/20/2007
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