DAVIS HENDERSON COUNSELING AND CONSULTING, LLC (NPI# 1518571298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518571298 |
Entity Type | Organization |
Organization Name | DAVIS HENDERSON COUNSELING AND CONSULTING, LLC |
Practice Address |
612 Sunflower Avenue Ext Ste 12 Indianola MS 38751-2333 |
Mailing Address |
609 Slim St Indianola MS 38751-3551 |
Practice Telephone | 6624525072 |
Mailing Telephone | 6622075820 |
Enumeration Date | 2020-09-01 |
Last Update Date | 2020-09-01 |
Authorized Official Name | DR. NATOYA DAVIS HENDERSON (OWNER) |
Authorized Official Telephone | 6622075820 |
Authorized Official Credential | LPC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Natoya Davis Henderson | Doing Business As Name - Organization |
Street Address |
612 SUNFLOWER AVENUE EXT STE 12 |
City | INDIANOLA |
State | MS |
Zip Code | 38751-2333 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437512738 | Natoya Y Davis Henderson | Counselor | 612 Sunflower Avenue Ext Ste 12, Indianola, MS 38751-2333 | 2016-04-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649781253 | Greater Hearts Adult Daycare | Clinic/Center | 124 Curtis Street, Indianola, MS 38751 | 2017-10-23 |
1083139505 | Quality Family Care LLC | Nurse Practitioner | 310 Hwy 82 West, Suite D, Indianola, MS 38751 | 2017-08-05 |
1932641800 | Creative Image Personal Care Services LLC | Respite Care | 503 Hwy 82 East, Indianola, MS 38751 | 2016-11-09 |
1225580442 | St. John's Respite Care Services, LLC | In Home Supportive Care | 517 East Street, Indianola, MS 38751 | 2016-11-04 |
1992163588 | Rona Kaye Huey | Nurse Practitioner | 310 Highway 82 W Ste D, Indianola, MS 38751 | 2016-02-10 |
1952641201 | Julia R. Hill, Dmd, Pa | Dentist | 104 W. Gresham St., Indianola, MS 38751 | 2013-02-25 |
1649463977 | Kenneth C Beal Jr. | Dentist | 913 B.b. King Road, Indianola, MS 38751 | 2007-08-21 |
1922136688 | Lloyd Leon Patton Jr. | Pharmacist | 903 Highway 82 East, Building G, Indianola, MS 38751 | 2007-03-02 |
1770623506 | North Mississippi Foot Specialists PC | Durable Medical Equipment & Medical Supplies | 110 East Baker Street, Indianola, MS 38751 | 2007-02-08 |
1548311525 | Quality In Home Services Inc | Homemaker | 108 Martin Luther King, Indianola, MS 38751 | 2007-01-16 |
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Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
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---|---|---|---|---|
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1548894488 | Day To Day Counseling and Consulting | Clinic/Center | 1389 Cliff Gookin Blvd Ste D, Tupelo, MS 38801-6458 | 2020-03-01 |
1174157689 | Sound Mind Psychiatry Pllc | Clinic/Center | 105 W Hamilton St, Houston, MS 38851-2209 | 2020-02-24 |
1164071981 | Community Care Group LLC | Clinic/Center | 54 E Franklin St, Natchez, MS 39120-3665 | 2019-09-04 |
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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.