Amy Lee Henderson, P-LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P-1022 Issued in MS

Practice address

7145 Swinnea Rd Ste 2
Southaven, MS 38671-6380

Phone

(901) 590-9790

NPI assigned

Dec 4, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1701648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1609643220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2927 GEOFFREY DR",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386728110",
            "telephone_number": "662-538-8326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7145 SWINNEA RD STE 2",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386716380",
            "telephone_number": "901-590-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "AMY",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "P-LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "P-1022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heart to Home LLC
• Heather M. Dowdy, O.D.
• Hec Medical
• Staci Annette Heine, PT
• Helping Hands Learning Academy, Inc
• Julia Mae Henderson, MA, LPC, BC-TMH
• Shoquana Henderson, BSW, RPSGT
• Todd Marcos Henderson, MD
• Terri Hayes Henson, MD
• Lily Herbert, M.D.

• Mental Health Counselor in Southaven, MS
• Providers in Southaven, MS by specialty
• Mental Health Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.