Davis Henderson, Natoya Y

Davis Henderson, Natoya Y is an sole proprietor health care provider with primary practice located at 2349 Highway 1 S , Greenville MS 38701-8337. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Davis Henderson, Natoya Y can be contacted via phone (662) 452-5072.

Contact Information

Primary practice address
2349 Highway 1 S Greenville MS 38701-8337
Fax: (662) 452-5073
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2024 Mississippi

Profile Details

NPI number 1437512738
LBN Legal business name Davis Henderson, Natoya Y
Credentials DPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2016
Last updated Jan 5th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437512738 NPPES
Mississippi MEDICAID 00557303

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