Brandy Nichole Henderson, MA, PLPC
Individual provider Active NPI Professional Counselor · Florissant, MO
NPI 1346904562 · NPPES record last updated Mar 6, 2025
Key facts
- NPI
- 1346904562
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 2021040533 (MO)
- Practice address
- 2705 Mullanphy LN
Florissant, MO 63031-3727 - Phone
- (314) 830-6211
- NPI assigned
- Oct 25, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021040533 | MO | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | MO | ||
| Professional Counselor | 101YP2500X | 2021040533 | MO | Yes |
Addresses
Primary practice location
2705 Mullanphy LN
Florissant, MO 63031-3727
Mailing address
1569 Norlakes Dr Apt C
Saint Louis, MO 63136-1849
Phone (314) 683-5730
Other providers in Florissant, MO
- Helpful Hands Home Health CDS, LLC
- Helpful Hands Home Health, LLC
- Helping Hands Home Health Services LLC
- Helping Handz
- Ashley Henderson
- Frederick G Henderson Jr.
- Joanna Lynn Hendricks
- Sharon Hepburn
- Herbal Envy Skincare LLC
- Christopher Herbst
All providers in Florissant, MO · Professional Counselor in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.