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Contact Information

KAYLENE S HENDERSON, MA
52 SUNFLOWER CT
ELLIJAY, GA30540-3054
 Phone: 706-455-9028
 Fax: 706-455-9028
 Website:
 

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
Indicates primary specialty

NPI Profile & details for KAYLENE S HENDERSON · (Female)

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
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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