Individual
ALICIA HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3322 WOODMONT DR, PARRISH, FL 34219-1658
(865) 805-1766
Mailing address
3322 WOODMONT DR, PARRISH, FL 34219-1658
(865) 805-1766
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4749
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC4749
STATE OF TENNESSEE
TN
Enumeration date
02/13/2020
Last updated
03/15/2026
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