MEDICARE: MRS. BRITNEY SHARONDA HENLEY-PHILEMOND

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	101YM0800X	Mental Health Counselor	MH20491	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487304168
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BRITNEY SHARONDA HENLEY-PHILEMOND

Provider Business Mailing Address
First Line	:	3665 SW PORT ST LUCIE BLVD
Second Line	:
City	:	PORT SAINT LUCIE
State	:	FL
Zip	:	34953-3626
Country	:	US
Telephone Number	:	954-415-2588
Fax Number	:

Provider Business Practice Location Address
First Line	:	700 SE BECKER RD UNIT 517
Second Line	:
City	:	PORT SAINT LUCIE
State	:	FL
Zip	:	34984-6621
Country	:	US
Telephone Number	:	561-570-6132
Fax Number	:

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

Provider Enumeration Date	:	03/25/2022
Last Update Date	:	04/24/2026

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