Henderson, Shirley Johnson

Henderson, Shirley Johnson is an sole proprietor health care provider with primary practice located at 2151 45Th St Suite 207, West Palm Beach FL 33407-2026. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Henderson, Shirley Johnson can be contacted via phone (561) 842-9550.

Contact Information

Primary practice address
2151 45Th St Suite 207 West Palm Beach FL 33407-2026
Phone: (561) 842-9550
Fax: (561) 842-9114
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH0003465 Florida

Profile Details

NPI number 1366503971
LBN Legal business name Henderson, Shirley Johnson
Credentials L.M.H.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2006
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1366503971 NPPES
Florida Other 28451 BCBS

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