Tracey Lynette Campbell Henderson, RN - Counselor in Phoenix, AZ

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Tracey Lynette Campbell Henderson, RN is a Registered Nurse - Psychiatric/mental Health based in Phoenix, Arizona. Tracey Lynette Campbell Henderson is licensed to practice in Texas (license number 1214661) and her current practice location is 10000 N 31st Ave Ste C262, Phoenix, Arizona. She can be reached at her office (for appointments etc.) via phone at (602) 754-0400.

NPI number for Tracey Lynette Campbell Henderson is 1568982635 and her current mailing address is Po Box 630164, Nacogdoches, Texas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1568982635.

Contact Information

Tracey Lynette Campbell Henderson, RN
10000 N 31st Ave Ste C262,
Phoenix, AZ 85051-9630
(602) 754-0400
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameTracey Lynette Campbell Henderson
GenderFemale
SpecialityRegistered Nurse - Psychiatric/mental Health
Location10000 N 31st Ave Ste C262, Phoenix, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1568982635
  • Provider Enumeration Date: 06/21/2017
  • Last Update Date: 01/16/2026

Medical Identifiers

Medical identifiers for Tracey Lynette Campbell Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568982635NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
163WP0808XRegistered Nurse - Psychiatric/mental Health 1214661 (Texas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tracey Lynette Campbell Henderson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tracey Lynette Campbell Henderson, RN
Po Box 630164,
Nacogdoches, TX 75963-0164

Ph: (936) 205-1875		Tracey Lynette Campbell Henderson, RN
10000 N 31st Ave Ste C262,
Phoenix, AZ 85051-9630

Ph: (602) 754-0400

Reviews and Comments


Registered Nurse in Phoenix, AZ


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