Tricia Henderson, LPC-MHSP
Individual provider Active NPI Mental Health Counselor · Signal Mountain, TN
NPI 1962088203 · NPPES record last updated Mar 18, 2021
Key facts
- NPI
- 1962088203
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 3078 (TN)
- Practice address
- 7352 Blackstone Dr
Signal Mountain, TN 37377-3545 - Phone
- (423) 605-4758
- NPI assigned
- Mar 18, 2021
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 3078 | TN | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 3078 | TN | Yes |
Addresses
Primary practice location
7352 Blackstone Dr
Signal Mountain, TN 37377-3545
Mailing address
7352 Blackstone Dr
Signal Mountain, TN 37377-3545
Phone (423) 605-4758
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3078 | Other | TN | STATE OF TENNESSEE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Brentwood | Southeast Psych Tennessee |
Other providers in Signal Mountain, TN
- Rachna Gupta
- Brian James Hale
- Meredith Hamilton
- Ali Katherine Hansford-McKinney
- Elaine W Hatch
- Terry F Holmes
- Jonathan Ryan Hudson
- Elizabeth Thrasher Hullander
- Independent Physical Therapy LLC
- Jennifer Lynn Ingram
All providers in Signal Mountain, TN · Mental Health Counselor in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2021. 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.