Provider Demographics
NPI:1932609344
Name:HENSLEY, GARLAND LYNETTE
Entity Type:Individual
Prefix:
First Name:GARLAND
Middle Name:LYNETTE
Last Name:HENSLEY
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 1:308 PERCHERON DR
Mailing Address - Street 2:
Mailing Address - City:GRAND CANE
Mailing Address - State:LA
Mailing Address - Zip Code:71032-6284
Mailing Address - Country:US
Mailing Address - Phone:318-947-5898
Mailing Address - Fax:
Practice Address - Street 1:308 PERCHERON DR
Practice Address - Street 2:
Practice Address - City:GRAND CANE
Practice Address - State:LA
Practice Address - Zip Code:71032-6284
Practice Address - Country:US
Practice Address - Phone:318-947-5898
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-13
Last Update Date:2020-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health