DR. KEISHA DENYTHIA HENRY (NPI# 1134341076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134341076 |
| Entity Type | Individual |
| Full Name | DR. KEISHA DENYTHIA HENRY |
| Credential | PH.D. |
| Practice Address |
314 Medical Group, Life Skills Support Center 1090 Arnold Drive Little Rock Afb AR 72099 |
| Mailing Address |
Po Box 1126 Jacksonville AR 72078 |
| Practice Telephone | 5019877338 |
| Practice Fax Number | 5019878087 |
| Mailing Telephone | 5019877338 |
| Mailing Fax Number | 5019878087 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1433 | AL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912362500 | Keisha Henry | Counselor | 5214 Dauphine St, New Orleans, LA 70117-3730 | 2015-12-23 |
| 1699287771 | Keisha Marie Henry | Health Maintenance Organization | 3330 Cumberland Blvd Se Ste 500, Atlanta, GA 30339-5997 | 2017-10-30 |
| 1811412976 | Keisha Dwynette Henry | Social Worker | 2623 S Seacrest Blvd, Boynton Beach, FL 33435-7501 | 2017-08-10 |
| Street Address |
314 MEDICAL GROUP, LIFE SKILLS SUPPORT CENTER 1090 ARNOLD DRIVE |
| City | LITTLE ROCK AFB |
| State | AR |
| Zip Code | 72099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356876577 | Little Rock Air Force Base Eye Care | Optometrist | 6th Street, Bldg 787, Little Rock Air Force Base, Little Rock, AR 72099 | 2017-04-25 |
| 1841636206 | National Vision Optical | Technician/Technologist | Bldg 787 6th St., Little Rock, AR 72099 | 2013-05-13 |
| 1457810848 | Dennis Dale Jackson II | Pharmacist | 1090 Arnold Dr, Little Rock Afb, AR 72099 | 2019-03-15 |
| 1003319880 | Isaac Clayton Talbert | Preventive Medicine | 1090 Arnold Dr, Jacksonville, AR 72099 | 2018-03-17 |
| 1699213454 | Teryn Ardell Freeman | Physician Assistant | 19th Medical Group, 1090 Arnold Drive, Little Rock, AR 72099 | 2017-02-01 |
| 1437545183 | Christina R Lyon | Family Medicine | 1090 Arnold Dr, Little Rock Air Force Base, AR 72099 | 2015-04-09 |
| 1922362102 | Seth William Heimer | Family Medicine | 1090 Arnold Dr, Lr Afb, AR 72099 | 2012-07-02 |
| 1730314899 | Andrew Chichick Iv | Military Health Care Provider | 1090 Arnold Drive, 19 Amds/sgpf, Little Rock Afb, AR 72099 | 2009-05-19 |
| 1669469094 | Jordan Kieliszewski | Social Worker | 1090 Arnold Dr, Jacksonville, AR 72099 | 2005-09-30 |
| 1427316488 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | 6 Th St Bldg 787, Little Rock Afb, AR 72099-0001 | 2012-04-27 |
| Find all providers in zip 72099 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255323838 | Lisa R Blackman | Psychologist | 314 Mdos/ Sgoh, 1090 Arnold Drive, Little Rock Afb, AR 72099-0001 | 2005-08-18 |
| 1649648510 | Caitlin Fissette-eckert | Psychologist | 1090 Arnold Dr, Little Rock Afb, AR 72099-4933 | 2015-09-09 |
| 1194093062 | Barbara Ann Mcleod | Psychologist | 1090 Arnold Dr, Little Rock Afb, AR 72099-4933 | 2011-12-07 |
| 1396079570 | Rocky Christopher Liesman | Psychologist | 1090 Arnold Dr, Little Rock Afb, AR 72099-4933 | 2009-09-22 |
| 1487697165 | Geriann T Dillender | Psychologist | 1090 Arnold Dr, Little Rock Afb, AR 72099-6600 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255973350 | Brandon J Griffin | Psychologist | 4281 Highway 201 S, Mountain Home, AR 72653-5543 | 2019-10-10 |
| 1194297648 | John M Ray | Psychologist | 2200 Fort Roots Dr 116b/nlr, North Little Rock, AR 72114-1709 | 2018-12-21 |
| 1699279158 | Eva N Woodward | Psychologist | 2200 Fort Roots Drive, 152 Nlr, North Little Rock, AR 72114-1709 | 2018-03-20 |
| 1265950034 | Elizabeth Chaisson | Psychologist | 1 W Mountain St Ste 307, Fayetteville, AR 72701-6068 | 2017-08-31 |
| 1962944579 | Gary J. Oliver | Psychologist | 2000 W University St, Siloam Springs, AR 72761-2112 | 2016-11-14 |
| 1922470020 | Savanna Cloer Mccain Phd, Pa | Psychologist | 4257 N Gabel Dr # 2b, Fayetteville, AR 72703-5004 | 2015-10-28 |
| 1679970214 | Kenneth Hobby | Psychologist | 910 E Park Ave, Ezell Center, Office 112, Searcy, AR 72143 | 2014-11-25 |
| 1043630734 | The Sage Center for Trauma and Wellness, Pllc | Psychologist | 2725 Cantrell Rd Ste 105, Little Rock, AR 72202-2044 | 2014-04-21 |
| 1265853378 | Renee Gibbs | Psychologist | 2200 Fort Roots Dr # 116b, North Little Rock, AR 72114-1709 | 2013-12-17 |
| 1922434729 | Hillary R. Hunt, Ph.d., Pllc | Psychologist | 3401 Rogers Ave, Suite B, Fort Smith, AR 72903-2956 | 2013-09-25 |
| Find all providers with the same taxonomy | ||||
| City | LITTLE ROCK AFB |
| Zip Code | 72099 |
Please comment or provide details below to improve the information on DR. KEISHA DENYTHIA HENRY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.