Henderson, Eletha Lajewell
Henderson, Eletha Lajewell is an individual health care provider with primary practice located at 2126 N 1St Street Suite F, Jacksonville AR 72076-5323. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Henderson, Eletha Lajewell can be contacted via phone (501) 982-5000.Contact Information
Primary practice address
2126 N 1St Street Suite F
Jacksonville AR 72076-5323
Phone: (501) 982-5000
Fax: (801) 982-5007
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
NPI number | 1548500424 |
---|---|
LBN Legal business name | Henderson, Eletha Lajewell |
Credentials | MHPP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 28th, 2013 |
Last updated | Oct 4th, 2017 - about 7 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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