Henderson, Carlton Keith
Henderson, Carlton Keith is an individual health care provider with primary practice located at 1384 Madison Avenue , Memphis TN 38104. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Henderson, Carlton Keith can be contacted via phone (901) 493-1103.Contact Information
Primary practice address
1384 Madison Avenue
Memphis TN 38104
Phone: (901) 493-1103
Fax: (901) 726-4281
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | TN-048 | Tennessee |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 1939-C | Arkansas |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 3661 | Tennessee |
Profile Details
| NPI number | 1699854166 |
|---|---|
| LBN Legal business name | Henderson, Carlton Keith |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2006 |
| Last updated | Feb 22nd, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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