THERESA E HENDERSON CPRP CRPS NPI 1386128205

NPI Information

NPI: 1386128205
Provider Name: THERESA E HENDERSON, CPRP, CRPS
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
2257 SANDY CT
ORANGE PARK, FL
ZIP 32073
Phone: (904) 314-2060
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Theresa E Henderson, CPRP, CRPS is a peer specialist in Orange Park, FL. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Theresa E Henderson, CPRP, CRPS NPI is 1386128205. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2257 SANDY CT
ORANGE PARK, FL
ZIP 32073-235
Phone: (904) 314-2060

The enumeration date for this NPI number is 9/17/2018 and was last updated on 9/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	175T00000X	Peer Specialist				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	12768	OTHER	FLORIDA	FLORIDA BOARD OF CERTIFICATION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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