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Johnastasia Lillian Henderson

Counselor Mental Health Counselor Addiction Counselor (Substance Use Disorder)

33 Oak Ave
Worcester , Massachusetts 01605-2752

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Johnastasia Lillian Henderson

Counselor Mental Health Counselor Addiction Counselor (Substance Use Disorder)

33 Oak Ave
Worcester , Massachusetts 01605-2752

(413) 271-7137

Write a Review Save Call

Johnastasia Lillian Henderson

Counselor Mental Health Counselor Addiction Counselor (Substance Use Disorder)

33 Oak Ave
Worcester , Massachusetts 01605-2752

(413) 271-7137 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Counselor
  • Addiction Counselor (Substance Use Disorder)
  • Mental Health Counselor

Languages spoken

  • English

Location

33 Oak Ave Worcester , Massachusetts 01605-2752

First Address

  • Johnastasia Lillian Henderson
  • 125 Liberty St Ste 204
  • Springfield, MA
  • Zip : 01103-1109
  • Fax : (413) 271-7137
  • Phone : (413) 271-7136

Second Address

  • Johnastasia Lillian Henderson
  • 33 Oak Ave
  • Worcester, MA
  • Zip : 01605-2752
  • Fax : (774) 420-2804
  • Phone : (774) 402-8800

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FAQs


Where did Johnastasia Lillian Henderson attend graduate school?

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Where did Johnastasia Lillian Henderson do her residency?

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Where did Johnastasia Lillian Henderson do her fellowship?

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Is Johnastasia Lillian Henderson board certified?

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What type of doctor is Johnastasia Lillian Henderson

Addiction Counselor (Substance Use Disorder)

In what state does Johnastasia Lillian Henderson practice in?

Massachusetts

Where is Johnastasia Lillian Henderson ’s practice located?

33 Oak Ave , Worcester, Massachusetts, 01605-2752

What is Johnastasia Lillian Henderson ’s gender?

Female

Is Johnastasia Lillian Henderson a sole practitioner?

No

Is Johnastasia Lillian Henderson accepting new patients?

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What languages does Johnastasia Lillian Henderson speak?

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Does Johnastasia Lillian Henderson accept insurance?

Yes, Johnastasia Lillian Henderson accepts insurance

Does Johnastasia Lillian Henderson offers telemedicine?

Johnastasia Lillian Henderson has not indicated if she offers telemedicine

What is Johnastasia Lillian Henderson ’s professional license number?

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What is Johnastasia Lillian Henderson ’s NPI number?

1003452640

Does Johnastasia Lillian Henderson have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 101Y00000X Counselor
Y 101YA0400X Addiction Counselor (Substance Use Disorder)
N 101YM0800X Mental Health Counselor

National Provider Identifier

NPI 1003452640
Provider Name Johnastasia Lillian Henderson
First Address Springfield, MA 01103-1109
Second Address Worcester, MA 01605-2752
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 19/11/2019
Last Update Date 19/11/2019

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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