- Practice location
- 192 Throop Ave, Brooklyn, NY 11206-5334
- Phone
- 929-210-9333
- Fax
- —
- Last updated
- August 17, 2020
Jaelani Deserae Henderson is a Counselor, Mental Health based in Brooklyn, NY. Jaelani Deserae Henderson practices in Brooklyn, NY. The NPI Number for Jaelani Deserae Henderson is 1659983112. The current practice location address for Jaelani Deserae Henderson is 192 Throop Ave, Brooklyn, NY 11206-5334 and can be reached out via phone at 929-210-9333.
Provider Profile Details
- NPI Number
- 1659983112
- Provider Name
- Jaelani Deserae Henderson
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 192 Throop Ave, Brooklyn, NY 11206-5334
- Phone Number
- 929-210-9333
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 17, 2020
- Last Update Date
- August 17, 2020
- Certification Date
- August 17, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 192 Throop Ave
Brooklyn, NY 11206-5334 - City
- Brooklyn
- State
- New York
- Zip
- 11206-5334
- Phone Number
- 929-210-9333
Provider Business Mailing Address Details
- Address
- 157 Crawford St Apt 2
Boston, MA 02121-1017 - City
- Boston
- State
- MA
- Zip
- 02121-1017
- Phone Number
- 617-322-4046
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 Brooklyn, NY
View all Counselor, Mental Health providers in Brooklyn →Frequently Asked Questions
What is the NPI number of Jaelani D Henderson?
The NPI number of Jaelani D Henderson is 1659983112. It was assigned on August 17, 2020 and is currently active in the NPPES registry.
What is the specialty of Jaelani D Henderson?
Jaelani D Henderson is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).
Where does Jaelani D Henderson practice?
The practice location is 192 Throop Ave, Brooklyn, NY 11206-5334. The office can be reached at 929-210-9333 (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 1659983112 directly on the NPPES registry website.