Provider Demographics
NPI:1396847695
Name:HENLEY, KAMALA E
Entity Type:Individual
Prefix:MS
First Name:KAMALA
Middle Name:E
Last Name:HENLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:KAMALA
Other - Middle Name:E
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:SWCMHC, PO BOX 1946
Mailing Address - Street 2:215 N. MAGNOLIA ST.
Mailing Address - City:SUMTER
Mailing Address - State:SC
Mailing Address - Zip Code:29151-1946
Mailing Address - Country:US
Mailing Address - Phone:803-775-9364
Mailing Address - Fax:803-773-6615
Practice Address - Street 1:SWCMHC/CAROLINA PLACE
Practice Address - Street 2:525 N. LAFAYETTE DR.
Practice Address - City:SUMTER
Practice Address - State:SC
Practice Address - Zip Code:29151-1946
Practice Address - Country:US
Practice Address - Phone:803-775-6293
Practice Address - Fax:803-775-3651
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health