Heather Henson

Individual provider Active NPI Mental Health Counselor · Mount Washington, KY

NPI 1265837157 · NPPES record last updated Nov 4, 2014

Key facts

NPI
1265837157
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
0928 (KY)
Practice address
167 Hoover CT
Mount Washington, KY 40047-8019
Phone
(270) 351-9444
NPI assigned
Nov 4, 2014
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0948KYMDAddiction (Substance Use Disorder) Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0948 KY
Mental Health Counselor 101YM0800X 0928 KY Yes

Addresses

Primary practice location

167 Hoover CT
Mount Washington, KY 40047-8019

Mailing address

167 Hoover CT
Mount Washington, KY 40047-8019

Other providers in Mount Washington, KY

All providers in Mount Washington, KY · Mental Health Counselor in Kentucky

Sources for this page

Verify at the official NPI Registry.