Henderson, Nakeyia Louise
Henderson, Nakeyia Louise is an sole proprietor health care provider with primary practice located at 2500 Wilshire Blvd , Los Angeles CA 90057-4303. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Agencies / Case Management, Agencies / Community/Behavioral Health. Agencies / Case Management is her primary health care specialty. Henderson, Nakeyia Louise can be contacted via phone (213) 380-9531.Contact Information
Primary practice address
2500 Wilshire Blvd
Los Angeles CA 90057-4303
Phone: (213) 380-9531
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 1568648590 | California |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Agencies / Case Management | 251B00000X | ||
| Agencies / Community/Behavioral Health | 251S00000X |
Profile Details
| NPI number | 1134371677 |
|---|---|
| LBN Legal business name | Henderson, Nakeyia Louise |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 15th, 2008 |
| Last updated | Oct 15th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134371677 | NPPES |
| California | MEDICAID | 93979365A |
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