Henry, Marquitta
Henry, Marquitta is an sole proprietor health care provider with primary practice located at 8528 Davis Blvd Ste 134340 , North Richland Hills TX 76182-8367. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Henry, Marquitta can be contacted via phone (682) 235-6463.Contact Information
Primary practice address
8528 Davis Blvd Ste 134340
North Richland Hills TX 76182-8367
Phone: (682) 235-6463
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 73971 | Texas |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LPC013080 | Georgia |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 73971 | Texas |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 73971 | Texas |
Profile Details
| NPI number | 1356708689 |
|---|---|
| LBN Legal business name | Henry, Marquitta |
| Credentials | M.S., LPC, NCC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 17th, 2016 |
| Last updated | Sep 29th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356708689 | NPPES |
| Texas | MEDICAID | 20058118 |
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