MEDICARE: ALICIA CYNTHIA 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	1041C0700X	Clinical Social Worker	ISW22668	FL

General Provider Information

NPI Number	:	1639048077
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALICIA CYNTHIA HENRY

Provider Business Mailing Address
First Line	:	1913 PEAKHAM PL
Second Line	:
City	:	APOPKA
State	:	FL
Zip	:	32703-8439
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1913 PEAKHAM PL
Second Line	:
City	:	APOPKA
State	:	FL
Zip	:	32703-8439
Country	:	US
Telephone Number	:	407-595-4317
Fax Number	:

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

Provider Enumeration Date	:	11/03/2025
Last Update Date	:	11/03/2025

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Directions to “ ALICIA CYNTHIA HENRY ” Practice Location

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