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Provider Information for 1841647708


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Mrs. NADINE HENRY LMHC


Sex: Female

NPI: 1841647708
Last Updated: 2016-05-20
Certification Date:

Details

NameValue
NPI1841647708
Enumeration Date2016-05-20
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 2421 NW 72ND AVENUE
MARGATE, FL 33063-8175
United States

Phone: | Fax:
 
Primary Practice Address 2421 NW 72ND AVE
MARGATE, FL 33063-8175
United States

Phone: 347-574-4826 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YM0800X - Counselor - Mental HealthFLMH 10703