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General NPI Number Information
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NPI Number | 1306170964
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Entity Type | Organization
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Legal Business Name | HENDERSON CONSULTING & EAP SERVICES
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Dates
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Enumeration Date | 09/29/2009
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Last Update Date | 02/17/2017
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Provider Practice Location Address
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Address Line | 7750 N. UNION BLVD. SUITE 102
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-4081
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Country | US
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Telephone | 719-380-1644
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Fax | 719-380-1694
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Provider Business Mailing Address
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Address Line | 7750 N UNION BLVD SUITE 102
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-4051
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Country | US
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Telephone | 719-380-1644
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Fax | 719-380-1694
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | MRS. GENE' J HENDERSON
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Credential | LAC, MAC, SAP
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Telephone | 719-380-1644
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 2345
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | 2345
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 2345
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License Number State | CO
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