Dana Henderson, Ph.D., P.C.

LBN: Dana Henderson, Ph.D., P.C.
Dana Henderson, Ph.D., P.C. is an health care organization with primary practice located at 2952 Vinings Forest Way Se , Atlanta GA 30339-4222. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adolescent and Children Mental Health, which is considered as the primary health care specialty. Dana Henderson, Ph.D., P.C. can be contacted via phone (404) 247-9274, or through Henderson, Dana Hughes via phone (404) 247-9274.

Contact Information

Primary practice address
2952 Vinings Forest Way Se Atlanta GA 30339-4222
Phone: (404) 247-9274
Fax: (770) 434-8830
Website:
Map and Directions
Authorized official contact:
Name: Henderson, Dana Hughes PH.D.
Phone: (404) 247-9274

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X PSY001261 Georgia

Profile Details

NPI number 1063748283
LBN Legal business name Dana Henderson, Ph.D., P.C.
DBA Doing business as
Authorized official Henderson, Dana Hughes PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 22nd, 2009
Last updated Oct 22nd, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063748283 NPPES
Georgia MEDICAID 000477837A

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