MEDICARE: RONDA LYNNETTE HENRY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	95821	TX

General Provider Information

NPI Number	:	1285574228
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RONDA LYNNETTE HENRY

Provider Business Mailing Address
First Line	:	1001 STONE BRIDGE ST
Second Line	:
City	:	MOUNT PLEASANT
State	:	TX
Zip	:	75455-9001
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2886 FARM ROAD 1735
Second Line	:
City	:	MOUNT PLEASANT
State	:	TX
Zip	:	75455-1089
Country	:	US
Telephone Number	:	903-742-2385
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2026
Last Update Date	:	04/07/2026

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Directions to “ RONDA LYNNETTE HENRY ” Practice Location

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