Healthcare Provider Details

I. General information

NPI: 1043144272
Provider Name (Legal Business Name): LILLIAN HENDERSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 N 7TH ST STE B
WEST MONROE LA
71291-4339
US

IV. Provider business mailing address

226 LAURA WILKES RD
WEST MONROE LA
71292-1910
US

V. Phone/Fax

Practice location:
  • Phone: 318-503-8300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: