The Henderson Clinic LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

THE HENDERSON CLINIC LLC

Practice address

359 Towne Center Blvd
Suite 601
Ridgeland, MS 39157-4868

Phone

(601) 572-8686

Fax

(601) 572-8685

NPI assigned

Aug 20, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Elizabeth Connell Henderson, MDNPI 1023034758

Title

Managing Member

Phone

(601) 572-8686

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth Connell Henderson, MD

  • Psychiatry Physician
  • Hickory, MS
  • NPI 1023034758
  NPD (past) Authorized official
• James Keeton Henderson, LPC

  • Professional Counselor
  • Ridgeland, MS
  • NPI 1952448524
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187568000000",
    "number": "1275726614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 TOWNE CENTER BLVD",
            "address_2": "SUITE 601",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574868",
            "telephone_number": "601-572-8686",
            "fax_number": "601-572-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 TOWNE CENTER BLVD",
            "address_2": "SUITE 601",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574868",
            "telephone_number": "601-572-8686",
            "fax_number": "601-572-8685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HENDERSON CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2007-08-20",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "CONNELL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "601-572-8686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Arbor
• The Cranial Prosthesis Center of Mississippi LLC
• The Harris Companies LLC (Harris Medical)
• The Headache Center, PLLC
• The Healthcare Staffing Group
• The Orchard
• The Pillars Counseling Center, LLC
• The Retina Institute of Mississippi, PLLC
• The Weston Group, Inc. (The Weston Health Care Group, Inc.)
• Therapy South - Ridgeland LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.