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Timesha Dianadria Henson
Mental Health Counselor in Greenwood, Mississippi
NPI 1043867153

Timesha Dianadria Henson is a Mental Health Counselor based in Greenwood, MS and is specialized in Mental Health. Timesha Dianadria Henson practices in Greenwood, MS. The NPI Number for Timesha Dianadria Henson is 1043867153 and holds a License No. PH4533 (Mississippi).

The current practice location address for Timesha Dianadria Henson is 2504 Browning Road 520, Greenwood, MS and can be reached out via phone at 662-453-6211.

Location: 2504 Browning Road 520, Greenwood, MS, 38930-6022
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043867153
Provider Name
Timesha Dianadria Henson
Credential
Provider Entity Type
Individual
Gender
Female
Address
2504 Browning Road 520, Greenwood, MS, 38930-6022
Phone Number
662-453-6211
Fax Number
Provider Enumeration Date
08/22/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2504 Browning Road 520
City
Greenwood
State
Mississippi
Zip
38930-6022
Phone Number
662-453-6211
Fax Number
person
Provider Business Mailing Address Details
Address
2504 Browning Road 520
City
Greenwood
State
Mississippi
Zip
38930-6022
Phone Number
662-453-6211
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
PH4533 (Mississippi)
Definition
Definition to come...
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