Active NPIIndividual providerSole proprietor

Taylece Henderson, LDCP

Counselor, Addiction (Substance Use Disorder) in Providence, Rhode Island

NPI Number1053274118
Practice location
66 Burnett St, Providence, RI 02907-2527
Fax
—
Last updated
December 5, 2025

Taylece Henderson is a Counselor, Addiction (Substance Use Disorder) based in Providence, RI. Taylece Henderson practices in Providence, RI and has the professional credentials of LDCP. The NPI Number for Taylece Henderson is 1053274118 and holds a License No. CDP01077 (RI). The current practice location address for Taylece Henderson is 66 Burnett St, Providence, RI 02907-2527 and can be reached out via phone at 401-785-0050.

Provider Profile Details

NPI Number
1053274118
Provider Name
Taylece Henderson
Credential
LDCP
Provider Entity Type
Individual
Gender
Female
Address
66 Burnett St, Providence, RI 02907-2527
Phone Number
401-785-0050
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
Yes
Provider Enumeration Date
December 5, 2025
Last Update Date
December 5, 2025
Certification Date
December 5, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
66 Burnett St
Providence, RI 02907-2527
Zip
02907-2527
Phone Number
401-785-0050
Providence, RI 02907Get directions →

Provider Business Mailing Address Details

Address
178 Ash St
New Bedford, MA 02740-3645
City
New Bedford
State
MA
Zip
02740-3645
Phone Number
774-994-9460

License Information

License Number
CDP01077
License State
RI
Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Taylece Henderson, LDCP?

The NPI number of Taylece Henderson, LDCP is 1053274118. It was assigned on December 5, 2025 and is currently active in the NPPES registry.

What is the specialty of Taylece Henderson, LDCP?

Taylece Henderson, LDCP is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in RI under license number CDP01077.

Where does Taylece Henderson, LDCP practice?

The practice location is 66 Burnett St, Providence, RI 02907-2527. The office can be reached at 401-785-0050 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053274118 directly on the NPPES registry website.

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