| Stephanie Henderson, Lcsw Pllc | |
|
12281 New Wehdem Rd Brenham TX 77833-7413 | |
| (979) 400-8918 | |
| Not Available |
| Full Name | Stephanie Henderson, Lcsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 12281 New Wehdem Rd, Brenham, Texas |
| Authorized Official Name and Position | Stephanie A Henderson (MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 9794008918 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Henderson, Lcsw Pllc 12281 New Wehdem Rd Brenham TX 77833-7413 Ph: (979) 400-8918 | Stephanie Henderson, Lcsw Pllc 12281 New Wehdem Rd Brenham TX 77833-7413 Ph: (979) 400-8918 |
| NPI Number | 1770396517 |
|---|---|
| Provider Enumeration Date | 01/27/2025 |
| Last Update Date | 01/27/2025 |
| Certification Date | 01/27/2025 |
| Medicare PECOS PAC ID | 2668993411 |
|---|---|
| Medicare Enrollment ID | O20250310000837 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770396517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Stephanie Ann Henderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629777800 PECOS PAC ID: 2365816147 Enrollment ID: I20230317000366 |
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