Healthcare Provider Details

I. General information

NPI: 1225807662
Provider Name (Legal Business Name): DESIREE HENSLEY LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/27/2023
Last Update Date: 12/14/2025
Certification Date: 12/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13350 W COLONIAL DR STE 340
WINTER GARDEN FL
34787-3977
US

IV. Provider business mailing address

13350 W COLONIAL DR STE 340
WINTER GARDEN FL
34787-3977
US

V. Phone/Fax

Practice location:
  • Phone: 407-654-4433
  • Fax:
Mailing address:
  • Phone: 407-654-4433
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW22441
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: