Active NPIIndividual providerSole proprietor

Keon N Henderson

Counselor, Mental Health in Hyde Park, Massachusetts

NPI Number1154081396
Practice location
695 Truman Hwy, Hyde Park, MA 02136-3552
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
Zip
02136-3552
Phone Number
857-247-0535
Hyde Park, MA 02136Get directions →

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

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 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.

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