Individual
MRS. AMY LEE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P-LPC
Contact information
Practice address
7145 SWINNEA RD STE 2, SOUTHAVEN, MS 38671-6380
(901) 590-9790
Mailing address
2927 GEOFFREY DR, SOUTHAVEN, MS 38672-8110
(662) 538-8326
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P-1022
MS
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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