Henderson-Smith, Linda Yvonne
Henderson-Smith, Linda Yvonne is an individual health care provider with primary practice located at 1345 Doe Valley Dr , Lithonia GA 30058-6201. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Henderson-Smith, Linda Yvonne can be contacted via phone (323) 240-6543.Contact Information
Primary practice address
1345 Doe Valley Dr
Lithonia GA 30058-6201
Phone: (323) 240-6543
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 005416 | Georgia |
Profile Details
| NPI number | 1982831418 |
|---|---|
| LBN Legal business name | Henderson-Smith, Linda Yvonne |
| Credentials | PHD, LPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2009 |
| Last updated | Apr 30th, 2020 - about 5 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 | 1982831418 | NPPES |
| Georgia | MEDICAID | 569644507A |
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