Individual
DR. NATOYA Y DAVIS HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPC
Contact information
Practice address
2349 HIGHWAY 1 S, GREENVILLE, MS 38701-8337
(662) 452-5072
(662) 452-5073
Mailing address
609 SLIM ST, INDIANOLA, MS 38751-3551
(662) 207-5820
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2024
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00557303
—
MS
Enumeration date
04/04/2016
Last updated
01/05/2022
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