=====================================================
General NPI Number Information
=====================================================
NPI Number | 1437061066
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HENLEY FAMILY CARE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/18/2026
-----------------------------------------------------
Last Update Date | 09/18/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3733 WORTHING CT
-----------------------------------------------------
City | GREENSBORO
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27455-3361
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 336-549-8031
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3733 WORTHING CT
-----------------------------------------------------
City | GREENSBORO
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27455-3361
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 336-549-8031
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CO- OWNER
-----------------------------------------------------
Name | MRS. ANDRIENA HENLEY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 336-549-8301
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251S00000X
-----------------------------------------------------
Taxonomy Name | Community/Behavioral Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------