Keon N Henderson
Counselor, Mental Health in Hyde Park, Massachusetts
1154081396- Practice location
- 695 Truman Hwy, Hyde Park, MA 02136-3552
- Phone
- 857-247-0535
- Fax
- —
- Last updated
- December 29, 2021
Keon N Henderson is a Counselor, Mental Health based in Hyde Park, MA. Keon N Henderson practices in Hyde Park, MA. The NPI Number for Keon N Henderson is 1154081396. The current practice location address for Keon N Henderson is 695 Truman Hwy, Hyde Park, MA 02136-3552 and can be reached out via phone at 857-247-0535.
Provider Profile Details
- NPI Number
- 1154081396
- Provider Name
- Keon N Henderson
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 695 Truman Hwy, Hyde Park, MA 02136-3552
- Phone Number
- 857-247-0535
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 29, 2021
- Last Update Date
- December 29, 2021
- Certification Date
- December 29, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 695 Truman Hwy
Hyde Park, MA 02136-3552 - City
- Hyde Park
- State
- Massachusetts
- Zip
- 02136-3552
- Phone Number
- 857-247-0535
Provider Business Mailing Address Details
- Address
- 4 Palfrey St
Roslindale, MA 02131-3726 - City
- Roslindale
- State
- MA
- Zip
- 02131-3726
- Phone Number
- 857-247-0535
License Information
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Mental Health providers near Hyde Park, MA
View all Counselor, Mental Health providers in Hyde Park →- Adonna FerrellCounselor, Mental Health · NPI 1093301483
- Allen M Saint-SurinCounselor, Mental Health · NPI 1073378501
- Angela YardeCounselor, Mental Health · NPI 1659941664
- Ashley DobsonCounselor, Mental Health · NPI 1942156898
- Brie OstreicherCounselor, Mental Health · NPI 1063969756
- Charmetria Montgomery-BooneCounselor, Mental Health · NPI 1477032704
Frequently Asked Questions
What is the NPI number of Keon N Henderson?
The NPI number of Keon N Henderson is 1154081396. It was assigned on December 29, 2021 and is currently active in the NPPES registry.
What is the specialty of Keon N Henderson?
Keon N Henderson is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).
Where does Keon N Henderson practice?
The practice location is 695 Truman Hwy, Hyde Park, MA 02136-3552. The office can be reached at 857-247-0535 (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 1154081396 directly on the NPPES registry website.