NPI Profile for KAYLENE S HENDERSON in ELLIJAY, GA.
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master?s degree and clinical experience and supervision for licensure or certification.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Counselor |
101Y00000X | |||
Case Manager/Care Coordinator |
171M00000X | |||
Foster Care Agency |
253J00000X | |||
Mental Health (Including Community Mental Health Center) |
261QM0801X | B4[14] | Community Mental Health Center |
| NPI Number | 1104342096 |
|
| Status | Active | |
| Credentials | MA | |
| Entity | Individual | |
| Enumeration date | 08/22/2017 | |
| Last updated | 08/22/2017 - About 9 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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KAYLENE S HENDERSON
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