Provider Demographics
NPI:1396424487
Name:HENDERSON, NAIMA R
Entity type:Individual
Prefix:
First Name:NAIMA
Middle Name:R
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 1:10701 ABERCORN ST # 60804
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31419-1400
Mailing Address - Country:US
Mailing Address - Phone:336-253-6383
Mailing Address - Fax:
Practice Address - Street 1:10701 ABERCORN ST # 60804
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31419-1400
Practice Address - Country:US
Practice Address - Phone:336-253-6383
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-14
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist