Organization
BETHZAIDA HENSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETHZAIDA HENSON (MENTAL HEALTH THERAPIST)
(407) 241-9223
Entity
Organization
Contact information
Practice address
5111 JALISCO LN, ORLANDO, FL 32822-2304
(407) 241-9223
Mailing address
5111 JALISCO LN, ORLANDO, FL 32822-2304
(407) 241-9223
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/24/2016
Last updated
01/24/2016
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