MEDICARE: CHRISTY MARIE HENLEY PMHNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	2015002646	MO

General Provider Information

NPI Number	:	1184014003
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTY MARIE HENLEY PMHNP-BC

Provider Business Mailing Address
First Line	:	104 W MAIN ST
Second Line	:
City	:	PIERCE CITY
State	:	MO
Zip	:	65723-1210
Country	:	US
Telephone Number	:	417-235-6610
Fax Number	:	417-476-1082

Provider Business Practice Location Address
First Line	:	104 W MAIN ST
Second Line	:
City	:	PIERCE CITY
State	:	MO
Zip	:	65723-1210
Country	:	US
Telephone Number	:	417-235-6610
Fax Number	:	417-476-1082

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2015
Last Update Date	:	10/09/2025

Similar Medicare Providers

1144373879 — CLARK COMMUNITY MENTAL HEALTH CENTER
Practice Location Address:

104 W MAIN ST
PIERCE CITY, MO
65723-1210

Practice Phone: 417-476-1000
Practice Fax: 471-476-1082

1215080833 — CLARK COMMUNITY MENTAL HEALTH CENTER
Practice Location Address:

104 W MAIN ST
PIERCE CITY, MO
65723-1210

Practice Phone: 417-476-1000
Practice Fax: 417-476-1082

1497297626 — CLARK COMMUNITY MENTAL HEALTH CENTER
Practice Location Address:

104 W MAIN ST
PIERCE CITY, MO
65723-1210

Practice Phone: 417-476-1000
Practice Fax:

1841074820 — SARAH NICOLE JORDAN
Practice Location Address:

104 W MAIN ST
PIERCE CITY, MO
65723-1210

Practice Phone: 417-476-1000
Practice Fax: 417-476-1082

1700139292 — MRS. LAURA CHRISTINE PERCY LMSW
Practice Location Address:

1210 W 1ST ST
FORT PIERCE, FL
34982-7206

Practice Phone: 772-882-4857
Practice Fax:

1518959139 — MRS. CATHY INGALLS WHNP
Practice Location Address:

6633 HIGHWAY 37
PIERCE CITY, MO
65723

Practice Phone: 417-354-8657
Practice Fax: 417-354-8607

Directions to “ CHRISTY MARIE HENLEY PMHNP-BC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.