Provider Demographics
NPI:1578056545
Name:HENNING, EMILY E (LPC)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:E
Last Name:HENNING
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 CAMBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:RAMSEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07446-1257
Mailing Address - Country:US
Mailing Address - Phone:973-897-5414
Mailing Address - Fax:
Practice Address - Street 1:129 WASHINGTON ST # 101LL
Practice Address - Street 2:
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-4657
Practice Address - Country:US
Practice Address - Phone:973-264-9423
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-13
Last Update Date:2022-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00501000101YM0800X
NJ37PC00845600101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health