DR. ANGELA L. HENDERSON (NPI# 1174758999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174758999 |
| Entity Type | Individual |
| Full Name | DR. ANGELA L. HENDERSON |
| Credential | PH.D. |
| Practice Address |
3111 Mahan Dr Suite 20 Tallahassee FL 32308-5548 |
| Practice Telephone | 8506561192 |
| Practice Fax Number | 8503861300 |
| Mailing Telephone | 8506561192 |
| Mailing Fax Number | 8503861300 |
| Enumeration Date | 2009-05-22 |
| Last Update Date | 2009-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY7246 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 767622100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316434590 | Angela Marie Henderson | Home Health | 511 Woodlore Dr, Chickasaw, AL 36611-1669 | 2018-04-13 |
| 1063946564 | Angela Henderson | Registered Nurse | 1448 E 10th St, Rolla, MO 65401-3648 | 2017-04-12 |
| 1609258193 | Angela Henderson | Speech-Language Pathologist | 145 Den Creek Trl, Fayetteville, GA 30215-4624 | 2015-06-22 |
| 1366583924 | Angela Henderson | Nurse Practitioner | 2700 S Figueroa St, Los Angeles, CA 90007-3255 | 2007-02-08 |
| 1245311364 | Angela M. Henderson | Chiropractor | 4992 Old Hwy #5, Woodstock, GA 30188 | 2006-10-17 |
| 1295348449 | Angela Henderson | Nurse Practitioner | 887 Bridgeport Ave, Shelton, CT 06484-7602 | 2020-08-27 |
| 1922480565 | Angela Henderson | Nurse Anesthetist, Certified Registered | 1900 Exeter Rd Ste 210, Germantown, TN 38138-2954 | 2015-06-19 |
| 1811318967 | Angela Henderson | Massage Therapist | 1032 S Jackson St, Suite 200, Seattle, WA 98104-3039 | 2013-12-16 |
| 1255669511 | Angela Henderson | Counselor | 64 New York Ave Ne, Washington, DC 20002-3320 | 2009-11-25 |
| 1649417205 | Angela Henderson | Nurse's Aide | 2250 Hickory Rd, Plymouth Meeting, PA 19462-1047 | 2009-01-19 |
| Street Address |
3111 MAHAN DR SUITE 20 |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32308-5548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265891543 | Life Solutions Outpatient Corp | Clinic/Center | 3111 Mahan Dr, Suite 20 #113, Tallahassee, FL 32308-5548 | 2016-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215588306 | Jmc Tallahassee, LLC | Preventive Medicine | 1838 Jacliff Court, Tallahassee, FL 32308 | 2019-09-20 |
| 1972165108 | Covenant Home Health Care, LLC | Home Health | 1921 Capital Circle Ne, Tallahassee, FL 32308 | 2019-07-09 |
| 1548735798 | North Florida Rehab Solutions | Hospitalist | 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 | 2018-10-03 |
| 1013491596 | Injury and Rehab Centers of North Florida, LLC | Neuromusculoskeletal Medicine & OMM | 2268 Wednesday Street, Tallahassee, Florida, FL 32308 | 2018-09-20 |
| 1487133625 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2634 Capital Circle Ne, Building C, Suite 156, Tallahassee, FL 32308 | 2018-08-08 |
| 1629566724 | Total Health & Wellness Home Care, LLC | Home Health | 1325 Mahan Dr., Tallahassee, FL 32308 | 2018-04-25 |
| 1669979480 | Beth North, Lcsw, LLC | Social Worker | 1325 Mahan Drive, Tallahassee, FL 32308 | 2018-04-09 |
| 1750885919 | Robert E Ashmore Jr Md | Obstetrics & Gynecology | 2770 Capitol Medical Blvd, Suite 100, Tallahassee, FL 32308 | 2018-03-22 |
| 1225547243 | William Michael Kunkle | Physician Assistant | 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 | 2017-09-21 |
| 1235657834 | Traci R Raybon | Occupational Therapist | 1924 Hidden Valley, Tallahassee, FL 32308 | 2017-09-03 |
| Find all providers in zip 32308 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497365399 | Julia L Sheffler | Psychologist | 1126b Lee Ave, Tallahassee, FL 32303-6508 | 2020-08-05 |
| 1386273258 | Alexandria Meyer | Psychologist | 2031 Misty Hollow Rd, Tallahassee, FL 32312-3562 | 2020-04-03 |
| 1194299578 | Kellery Kilgore | Psychologist | 2634 Capital Cir Ne Bldg B, Tallahassee, FL 32308-4106 | 2019-01-18 |
| 1912470741 | Yolanda K.h. Bogan | Psychologist | 1807 Vineland Ln, Tallahassee, FL 32317-7925 | 2019-01-03 |
| 1336689652 | Casey W. Schmidt, Phd | Psychologist | 3325 Thomasville Rd Ste C, Tallahassee, FL 32308-7970 | 2017-03-06 |
| 1396184818 | Psychology and Rehabilitation Services, P.a. | Psychologist | 3494 Weems Rd, Ste. B-2, Tallahassee, FL 32317-7503 | 2013-06-18 |
| 1346592748 | Waters & Kaklamanos | Psychologist | 1664 Metropolitan Cir, Suite 2, Tallahassee, FL 32308-7784 | 2012-10-09 |
| 1285982314 | Michael J. Kofler | Psychologist | 1107 W Call St, Tallahassee, FL 32306-2424 | 2012-08-21 |
| 1407144124 | Jermaine Tyron Robertson | Psychologist | 1512 Blountstown St, Tallahassee, FL 32304-1109 | 2011-07-14 |
| 1194023622 | Christi Washington Cabrera | Psychologist | 267 John Knox Rd, Suite 104, Tallahassee, FL 32303-6611 | 2011-03-08 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32308 |
Please comment or provide details below to improve the information on DR. ANGELA L. HENDERSON.
| 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.