Provider Demographics
NPI:1609161041
Name:HENRIQUES, SAHEEDAH (MSSPED)
Entity Type:Individual
Prefix:MS
First Name:SAHEEDAH
Middle Name:
Last Name:HENRIQUES
Suffix:
Gender:F
Credentials:MSSPED
Other - Prefix:PROF
Other - First Name:MS.
Other - Middle Name:
Other - Last Name:HENRIQUES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FFST
Mailing Address - Street 1:1133 EAGLES LANDING PKWY
Mailing Address - Street 2:
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30281-5085
Mailing Address - Country:US
Mailing Address - Phone:404-465-1569
Mailing Address - Fax:
Practice Address - Street 1:1133 EAGLES LANDING PKWAY
Practice Address - Street 2:
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281
Practice Address - Country:US
Practice Address - Phone:404-465-1569
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-14
Last Update Date:2014-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor