Vivien Marie Henderson, LMT

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA52819 Issued in FL

Practice address

2960 Burgoyne LN
West Palm Beach, FL 33409-7240

Phone

(561) 317-2038

NPI assigned

Oct 14, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Vivacious Healing Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269820800000",
    "number": "1548412208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2960 BURGOYNE LN",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334097240",
            "telephone_number": "561-317-2038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 BURGOYNE LN",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334097240",
            "telephone_number": "561-317-2038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "VIVIEN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-14",
        "last_updated": "2010-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "MA52819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIVACIOUS",
            "last_name": "HEALING",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Helen Hembree, PA
• Cherreba Henderson
• Lashante P Henderson
• Raymond Henderson Sr., M.D.
• Shirley Johnson Henderson, L.M.H.C.
• Aline Hendricksen-Moise
• Sherri Henley
• Michael P Hennessy, DDS
• Ashlie Hennon
• Barbara P Henriques, APRN

• Specialist in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; 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.