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General NPI Number Information
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NPI Number | 1265041115
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Entity Type | Individual
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Provider Name | TAMATHY HENDERSON LPCC
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Gender | Female
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Dates
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Enumeration Date | 07/27/2020
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 2626 RING RD
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-9118
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Country | US
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Telephone | 270-982-4200
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Fax | 270-982-4201
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Provider Business Mailing Address
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Address Line | 1689 GREENSBURG RD
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City | HODGENVILLE
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State | KY
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Zip | 42748-9724
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Country | US
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Telephone | 502-779-0354
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 260844
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License Number State | KY
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