Provider Demographics
NPI:1003501305
Name:HENDRIX, KERI (LMHCA)
Entity type:Individual
Prefix:
First Name:KERI
Middle Name:
Last Name:HENDRIX
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:MRS
Other - First Name:KERI
Other - Middle Name:
Other - Last Name:HENDDRIX
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMHCA
Mailing Address - Street 1:2451 ALLISON WAY
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-9341
Mailing Address - Country:US
Mailing Address - Phone:509-205-5559
Mailing Address - Fax:509-292-4155
Practice Address - Street 1:639 CULLUM AVE. STE 854
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-3512
Practice Address - Country:US
Practice Address - Phone:509-205-5559
Practice Address - Fax:509-292-4155
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-11
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC61536441101YM0800X
101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health