Matthew Jamal Henderson

Counselor · Port Orange, FL

Individual Active NPI

NPI number 1831543065

Practice location

6375 S Williamson Blvd
Apt #733
Port Orange, FL 32128-4010
Phone
(954) 643-7740

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NPI record

NPI
1831543065
Entity type
Individual (Type 1)
Enumeration date
April 13, 2016
Last updated
April 13, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Counselor Primary 101Y00000X — —

About Matthew Henderson

Matthew Jamal Henderson is a healthcare provider registered in the NPI registry with the primary taxonomy Counselor (code 101Y00000X). The practice location is 6375 S Williamson Blvd, Apt #733, Port Orange, FL 32128-4010. The NPI number 1831543065 was assigned on April 13, 2016 and the record was last updated on April 13, 2016.

Frequently asked questions

What is the NPI number of Matthew Jamal Henderson?

The NPI number is 1831543065.

What is the phone number of Matthew Henderson?

The phone number listed for the practice location is (954) 643-7740.

Where is Matthew Henderson located?

6375 S Williamson Blvd, Apt #733, Port Orange, FL 32128-4010.

What is the taxonomy code for Matthew Henderson?

The primary taxonomy code is 101Y00000X – Counselor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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