Provider Demographics
NPI:1558886291
Name:HENDERSON, SCHERRI NICOLE
Entity Type:Individual
Prefix:
First Name:SCHERRI
Middle Name:NICOLE
Last Name:HENDERSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3257 W SARAZENS CIR
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38125-0807
Mailing Address - Country:US
Mailing Address - Phone:901-618-4733
Mailing Address - Fax:
Practice Address - Street 1:3257 W SARAZENS CIR
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38125-0807
Practice Address - Country:US
Practice Address - Phone:901-590-4106
Practice Address - Fax:901-343-0792
Is Sole Proprietor?:No
Enumeration Date:2017-08-03
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3642101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health